DOMONIQUE BATTLE KOOMSON
NPI 1194479683
Physician Assistant in Fayetteville, NC

Q: What is Domonique Koomson's NPI number?

The NPI number for Domonique Koomson is 1194479683. It was assigned to this individual provider in the NPPES registry on February 4, 2022. The provider is also known as Domonique Desha Battle.

Q: What is Domonique Koomson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Domonique Koomson was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 04, 2022PECOS EnrolledAccepts Medicare Assignment

3637 CAPE CENTER DR, FAYETTEVILLE, NC 28304(910) 491-1760 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2023, Feb 4, 2022 (2 updates tracked since 2022).

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About Domonique Battle Koomson NPPES

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

DOMONIQUE BATTLE KOOMSON (NPI 1194479683) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (0010-12110) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1194479683

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDOMONIQUE BATTLE KOOMSON

Location Address3637 CAPE CENTER DRFayetteville, NC 28304-4457

Mailing Address3637 Cape Center DrFayetteville, NC 28304-4457

Phone(910) 491-1760

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 4, 2022

Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2023

✔ NPI 1194479683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-12110

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3637 CAPE CENTER DR, Fayetteville, NC 28304

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Other Names 1

Former Name (1)Domonique Desha Battle

Secondary Practice Location 1

Location 14420 Lake Boone TrlRaleigh, NC 27607-7505 · Phone (919) 784-3542

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Domonique Battle Koomson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193196178

PECOS Enrollment IDI20230131000406

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

24 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

14 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

REBECCA BROWN

Nurse Practitioner (Family)