SARAH ANNE DOMENICUCCI PA, ATC
NPI 1245219823
Physician Assistant in Columbus, OH

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
303 E TOWN ST, COLUMBUS, OH 43215(614) 788-5000(614) 788-5100 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Oct 3, 2019 (2 updates tracked since 2019).

About Sarah Anne Domenicucci Pa, Atc NPPES

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

SARAH ANNE DOMENICUCCI PA, ATC (NPI 1245219823) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50002344) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Westerville, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1245219823
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSARAH ANNE DOMENICUCCICredential: PA, ATC
Location Address303 E TOWN STColumbus, OH 43215-4601
Mailing Address303 E Town StColumbus, OH 43215-4601 · (614) 788-5000 · Fax (614) 788-5100
Fax(614) 788-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPI 1245219823 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 OH · 50002344
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.
303 E TOWN ST, Columbus, OH 43215

Secondary Practice Location 1

Location 1164 Wetherby LnWesterville, OH 43081-4957 · Phone (614) 839-2300 · Fax (614) 839-2301

Other Identifiers 1

Other000000475889OH · Anthem Pin

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

Sarah Anne Domenicucci Pa, Atc 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 ID8820003064
PECOS Enrollment IDI20060209000415
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 43215 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

Internal Medicine (Rheumatology)
303 E TOWN ST
COLUMBUS, OH 43215
Orthopaedic Surgery (Foot and Ankle Surgery)
303 E TOWN ST
COLUMBUS, OH 43215
Podiatrist (Foot & Ankle Surgery)
303 E TOWN ST
COLUMBUS, OH 43215
Nurse Practitioner (Adult Health)
303 E TOWN ST
COLUMBUS, OH 43215
Orthopaedic Surgery
303 E TOWN ST
COLUMBUS, OH 43215
Nurse Practitioner (Gerontology)
303 E TOWN ST
COLUMBUS, OH 43215
Physician Assistant
303 E TOWN ST
COLUMBUS, OH 43215
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
303 E TOWN ST
COLUMBUS, OH 43215

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 Sarah Domenicucci's NPI number?

The NPI number for Sarah Domenicucci is 1245219823. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Sarah Domenicucci located?

Sarah Domenicucci practices at 303 E Town St, Columbus, OH 43215. The listed phone number is (614) 788-5000.

What is Sarah Domenicucci's specialty?

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

Is Sarah Domenicucci enrolled in Medicare?

Yes. Sarah Domenicucci 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 Sarah Domenicucci accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Sarah Domenicucci 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 Sarah Domenicucci was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.