DOMENIC BERMUDEZ PA-C
NPI 1215454194
Physician Assistant - Medical in Englewood, OH

Active since August 23, 2017PECOS EnrolledAccepts Medicare Assignment
61.2/100
CMS Quality Rating
7709 HOKE RD, ENGLEWOOD, OH 45315(937) 809-2940(937) 809-2941 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 4, 2023, Nov 28, 2022, Jun 18, 2019 and 3 more (6 updates tracked since 2017).

About Domenic Bermudez Pa-c NPPES

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

DOMENIC BERMUDEZ PA-C (NPI 1215454194) is an individual medical provider in Englewood, Ohio, licensed in Ohio (50.005193RX) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215454194
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDOMENIC BERMUDEZCredential: PA-C
Location Address7709 HOKE RDEnglewood, OH 45315-9725
Mailing Address7709 Hoke RdEnglewood, OH 45315-9725 · (937) 809-2940 · Fax (937) 809-2941
Fax(937) 809-2941
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 23, 2017
Last NPPES UpdateOctober 3, 20256 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
✔ NPI 1215454194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 50.005193RX
Also ListedPhysician AssistantTaxonomy 363A00000X · License APP-000112838 (OH)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 50.005193RX (OH)
7709 HOKE RD, Englewood, OH 45315

Other Identifiers 2

Medicaid0243891OH
Medicaid0270942OH

Accepted 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

Domenic Bermudez Pa-c 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 ID4688949092
PECOS Enrollment IDI20171011002703
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 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services12 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.69
Improvement Activities40
Cost70.24

Other Providers at the Same Location NPPES 4

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

Family Medicine
7709 HOKE RD
ENGLEWOOD, OH 45315
Physician Assistant
7709 HOKE RD
ENGLEWOOD, OH 45315
Counselor (Mental Health)
7709 HOKE RD
ENGLEWOOD, OH 45315
Family Medicine
7709 HOKE RD
ENGLEWOOD, OH 45315

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 Domenic Bermudez's NPI number?

The NPI number for Domenic Bermudez is 1215454194. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Domenic Bermudez located?

Domenic Bermudez practices at 7709 Hoke Rd, Englewood, OH 45315. The listed phone number is (937) 809-2940.

What is Domenic Bermudez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Domenic Bermudez enrolled in Medicare?

Yes. Domenic Bermudez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Domenic Bermudez accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Oscar Health Insurance list Domenic Bermudez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Domenic Bermudez was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.