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DOMINICK CANNONE
NPI 1295777399
Internal Medicine - Nephrology in Jamestown, NY

Active since June 12, 2006PECOS Enrolled
15 S MAIN ST, SUITE 120, JAMESTOWN, NY 14701(716) 664-7725 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2023, Jun 15, 2021, May 26, 2021 and 2 more (5 updates tracked since 2016).

About Dominick Cannone NPPES

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

DOMINICK CANNONE (NPI 1295777399) is an individual nephrology provider in Jamestown, New York, licensed in New York (173526) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295777399
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDOMINICK CANNONE
Location Address15 S MAIN ST, SUITE 120Jamestown, NY 14701-6626
Mailing Address15 S Main St, Suite 300Jamestown, NY 14701-6626
Phone(716) 664-7725
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateJanuary 25, 20245 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1295777399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 173526
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
15 S MAIN ST, Jamestown, NY 14701
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominick Cannone is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Dominick Cannone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Lakes Physician Practice PC
Same address
Internal Medicine
15 S MAIN ST
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 233 clinicians in this Medicare group
NPI 1730599176 (716) 488-1877

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
95 services18 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.
21 services11 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
17 services15 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.
16 services12 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14701 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers72 claims7,110 services$0.24 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims1,962 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers37 claims5,520 services$0.20 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims4,080 services$1.00 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers22 claims1,470 services$2.66 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers59 claims59 services$18.62 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.

DREW GIBSON
Physical Therapy Assistant
15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701
Chautauqua County (716) 488-2322
DR. ROBERT BAILEY MD
Family Medicine
15 S MAIN ST, SUITE 250 - FAMILY PRACTICE
JAMESTOWN, NY 14701
Chautauqua County (716) 488-1878
LEANDRA NICOLE ST. PIERRE DPT, CSCS
Physical Therapist
15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701
Chautauqua County (716) 488-2322
SHIRLEY J SWENSON FNP
Nurse Practitioner (Family)
15 S MAIN ST, SUITE 160
JAMESTOWN, NY 14701
Chautauqua County (716) 484-7107
KAROLEE HUTCHINSON PTA
Physical Therapy Assistant
15 S MAIN ST, SUITE 220
JAMESTOWN, NY 14701
Chautauqua County (716) 488-2322
TIMOTHY BROWN
Surgery
15 S MAIN ST, SUITE 170
JAMESTOWN, NY 14701
Chautauqua County (716) 483-1183
SHADEN ALFALLAY
Internal Medicine
15 S MAIN ST, SUITE 150 INTERNAL MEDICINE
JAMESTOWN, NY 14701
Chautauqua County (716) 484-8610
DR. GEORGE L SO M.D.
Internal Medicine (Cardiovascular Disease)
15 S MAIN ST, SUITE 110 - CARDIOLOGY
JAMESTOWN, NY 14701
Chautauqua County (716) 483-2320

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 Dominick Cannone's NPI number?

The NPI number for Dominick Cannone is 1295777399. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Dominick Cannone located?

Dominick Cannone practices at 15 S Main St Suite 120, Jamestown, NY 14701. The listed phone number is (716) 664-7725.

What is Dominick Cannone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Dominick Cannone enrolled in Medicare?

Yes. Dominick Cannone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominick Cannone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominick Cannone reassigns Medicare benefits to Great Lakes Physician Practice PC (Jamestown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominick Cannone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dominick Cannone was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.