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MARTHA O DOMMISSE M.D.
NPI 1083773006
Family Medicine - Geriatric Medicine in Richmond, VA

Active since December 06, 2006PECOS Enrolled
1201 BROAD ROCK BLVD, RICHMOND, VA 23249(804) 675-6746 Get Directions Write a Review

NPPES record last updated: February 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martha O Dommisse M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA O DOMMISSE M.D. (NPI 1083773006) is an individual geriatric medicine provider in Richmond, Virginia, licensed in Virginia (0101240512) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083773006
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameMARTHA O DOMMISSECredential: M.D.
Location Address1201 BROAD ROCK BLVDRichmond, VA 23249-0001
Mailing Address772 Colony Oak LnMidlothian, VA 23114-4684
Phone(804) 675-6746
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 22, 2011
✔ NPI 1083773006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in VA · 0101240512
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1201 BROAD ROCK BLVD, Richmond, VA 23249
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martha O Dommisse M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers12 claims12 services$906.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MYLADY TIRADO P.T.A
Physical Therapy Assistant
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-6588
DR. KATHERINE LEIVY PSYD
Psychologist (Clinical)
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
MR. MICHAEL N MARTIN FNP-BC
Nurse Practitioner (Primary Care)
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
DR. PAUL WEISZ-CARRINGTON MD
Pathology (Anatomic Pathology & Clinical Pathology)
1201 BROAD ROCK BLVD, 113
RICHMOND, VA 23249
Richmond City (804) 794-9396
MRS. KIMBERLY JO POWELL OTR/L
Occupational Therapist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
MRS. PEGGY CHARLENE CARL
Pharmacist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
MISS STEPHANIE JEANNE SHERMAN REGISTERED DIETITIAN
Dietitian, Registered
1201 BROAD ROCK BLVD, VA MEDICAL CENTER
RICHMOND, VA 23249
Richmond City (804) 675-5000
DR. LAUREL HACKETT PT
Physical Therapist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Dommisse's NPI number?

The NPI number for Martha Dommisse is 1083773006. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Martha Dommisse located?

Martha Dommisse practices at 1201 Broad Rock Blvd, Richmond, VA 23249. The listed phone number is (804) 675-6746.

What is Martha Dommisse's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Martha Dommisse enrolled in Medicare?

Yes. Martha Dommisse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Martha Dommisse was last updated on February 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.