GILBERT RYAN DOMINGUEZ M.D.
NPI 1275601478
Family Medicine in La Jolla, CA

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
9850 GENESEE AVE, SUITE 810, LA JOLLA, CA 92037(858) 450-1212(858) 453-9271 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gilbert Ryan Dominguez M.d. NPPES

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

GILBERT RYAN DOMINGUEZ M.D. (NPI 1275601478) is an individual family medicine provider in La Jolla, California, licensed in California (A75306) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1999).

NPPES Registry Identity

NPI1275601478
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGILBERT RYAN DOMINGUEZCredential: M.D.
Location Address9850 GENESEE AVE, SUITE 810La Jolla, CA 92037-1224
Mailing Address9850 Genesee Ave, Suite 810La Jolla, CA 92037-1224 · (858) 450-1212 · Fax (858) 453-9271
Fax(858) 453-9271
Sole ProprietorYes
Medical School CMSMedical College Of PennsylvaniaGraduated 1999
Enumeration DateDecember 4, 2006
Last NPPES UpdateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
NPI 1275601478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A75306
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9850 GENESEE AVE, La Jolla, CA 92037

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

Gilbert Ryan Dominguez M.d. 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 ID9133012487
PECOS Enrollment IDI20040202001261
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 57

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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
2,421 services124 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
1,472 services91 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
1,251 services136 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
1,215 services126 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.
1,158 services731 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
975 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.63
Promoting Interoperability54
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%58 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
59%2,170 patients3/55-star benchmark: 100%
Breast Cancer Screening
1%3,097 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%8,382 patients1/55-star benchmark: 98%
Childhood Immunization Status
0%396 patients
Chlamydia Screening for Women
16%1,858 patients
Closing the Referral Loop: Receipt of Specialist Report
5%21 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
1%7,180 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
42%168 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
1%267 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
92%267 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%31,741 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%2,614 patients1/55-star benchmark: 100%
HIV Screening
2%19,092 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%20,385 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
71%22,252 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%30,599 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 5,874 patients
0%5,874 patients
Provide Patients Electronic Access to Their Health Information
87%8,103 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
63%594 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,828 patients
Patients totalRate: 2% · 2,829 patients
2%2,829 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers27 claims48 services$4.60 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers57 claims57 services$31.89 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers36 claims206 services$14.72 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers28 claims151 services$12.73 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers67 claims67 services$45.53 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers42 claims42 services$14.91 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.

Marriage & Family Therapist
9850 GENESEE AVE, SUITE 970
LA JOLLA, CA 92037
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
Plastic Surgery
9850 GENESEE AVE, SUITE 330
LA JOLLA, CA 92037
Clinical Exercise Physiologist
9850 GENESEE AVE, SUITE 730
LA JOLLA, CA 92037
Nurse Practitioner (Family)
9850 GENESEE AVE
LA JOLLA, CA 92037
Internal Medicine
9850 GENESEE AVE, STE 570
LA JOLLA, CA 92037
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
Otolaryngology
9850 GENESEE AVE, STE 710
LA JOLLA, CA 92037

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 Gilbert Dominguez's NPI number?

The NPI number for Gilbert Dominguez is 1275601478. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Gilbert Dominguez located?

Gilbert Dominguez practices at 9850 Genesee Ave Suite 810, La Jolla, CA 92037. The listed phone number is (858) 450-1212.

What is Gilbert Dominguez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gilbert Dominguez enrolled in Medicare?

Yes. Gilbert Dominguez 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.

When was this NPI record last updated?

The NPPES record for Gilbert Dominguez was last updated on March 22, 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.