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DOMINIC M OMWENGA
NPI 1275161408
Nurse Practitioner - Psychiatric/Mental Health in Elkton, MD

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
78.87/100
CMS Quality Rating

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominic M Omwenga NPPES

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

DOMINIC M OMWENGA (NPI 1275161408) is an individual psychiatric/mental health provider in Elkton, Maryland, licensed in Maryland (AC003032) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275161408
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDOMINIC M OMWENGA
Location Address106 BOW STElkton, MD 21921-5544
Mailing Address22 Chaddwyck BlvdNew Castle, DE 19720-8822
Phone(302) 897-1066
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2020
NPPES CertifiedApril 1, 2020
✔ NPI 1275161408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · AC003032
106 BOW ST, Elkton, MD 21921
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Dominic M Omwenga 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 ID9335552843
PECOS Enrollment IDI20201230000621, I20230228000069
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 7

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
106 services69 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
97 services69 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.
48 services21 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
36 services31 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21921 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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.

78.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.2
Promoting Interoperability88
Improvement Activities40
Cost57.04

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.

MELISSA DANIELLE EDMOND PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
106 BOW ST
ELKTON, MD 21921
Cecil County (410) 398-4000
VIVIAN FERRARA-MACHADO
Social Worker (Clinical)
106 BOW ST
ELKTON, MD 21921
Cecil County (410) 398-4000
DR. BHRUGISHA R PATEL PHARMD., MBA
Pharmacist
106 BOW ST
ELKTON, MD 21921
Cecil County (410) 398-4000
DEANNA BROOKS LMSW
Social Worker
106 BOW ST
ELKTON, MD 21921
Cecil County (410) 398-4000
MDICS AT UNION CECIL COUNTY, LLC
Hospitalist
106 BOW ST
ELKTON, MD 21921
Cecil County (443) 949-0814
UNION HOSPITAL OF CECIL COUNTY
Internal Medicine
106 BOW ST
ELKTON, MD 21921
Cecil County (410) 398-4510
MRS. KELLY LYNN JENKINS CRNP-FAMILY
Nurse Practitioner (Family)
106 BOW ST
ELKTON, MD 21921
Cecil County (443) 406-1370
MADEEHA ABDUL GHAFFAR
Internal Medicine
106 BOW ST
ELKTON, MD 21921
Cecil County (410) 398-4000

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 Dominic Omwenga's NPI number?

The NPI number for Dominic Omwenga is 1275161408. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Dominic Omwenga located?

Dominic Omwenga practices at 106 Bow St, Elkton, MD 21921. The listed phone number is (302) 897-1066.

What is Dominic Omwenga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dominic Omwenga enrolled in Medicare?

Yes. Dominic Omwenga 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 Dominic Omwenga accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Dominic Omwenga 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.

Is Dominic Omwenga affiliated with any hospitals?

According to CMS data, Dominic Omwenga is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Dominic Omwenga was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.