1. Home
  2. Directory
  3. Pennsylvania
  4. Erie
  5. Family Medicine
  6. NPI Profile

DR. DOMINIC M SCIAMANDA DO
NPI 1336107887
Family Medicine in Erie, PA

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
1920 W 8TH ST, ERIE, PA 16505(814) 456-1097(814) 287-9375 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2022, Nov 11, 2021, Feb 5, 2016 (3 updates tracked since 2016).

About Dr. Dominic M Sciamanda Do NPPES

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

DR. DOMINIC M SCIAMANDA DO (NPI 1336107887) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS013178) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2003).

NPPES Registry Identity

NPI1336107887
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOMINIC M SCIAMANDACredential: DO
Location Address1920 W 8TH STErie, PA 16505-4935
Mailing Address1920 W 8th StErie, PA 16505-4935 · (814) 456-1097 · Fax (814) 287-9375
Phone(814) 456-1097
Fax(814) 287-9375
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2003
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 24, 20253 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1336107887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS013178
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.
Also ListedAcupuncturistTaxonomy 171100000X · License OKO000013 (PA)
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License OS013178 (PA)
1920 W 8TH ST, Erie, PA 16505
Open in Google Maps ↗

Other Identifiers 3

Medicaid1013826810002PA
Other001773762PA · Blue Cross/blue Shield
OtherP023289PA · Gateway

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dominic M Sciamanda Do 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 ID2769417062
PECOS Enrollment IDI20051005000281
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 Dominic Sciamanda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sciamanda Total Health And Wellness
Same address
Family Medicine
1920 W 8TH ST
Erie, PA 16505
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
NPI 1902385255 (814) 456-1097

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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services16 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.
51 services27 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.
22 services16 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.
17 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Millcreek Community Hospital

Acute Care Hospitals · Erie, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390198
Location5515 Peach StreetErie, PA 16509 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16505 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
18%100 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%100 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%100 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
2%100 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%42 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%100 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,000 patients1/55-star benchmark: 59%
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 4

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
6 suppliers14 claims25 services$6.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$16.00 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier36 claims36 services$917.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers63 claims63 services$82.85 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 4

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

DR. MARY KATHERINE LASHER DO
Family Medicine
1920 W 8TH ST
ERIE, PA 16505
Erie County (814) 456-1097
FORT-STAN LLC
Physical Therapist (Orthopedic)
1920 W 8TH ST
ERIE, PA 16505
Erie County (814) 456-1097
BROOKE DUCHARME DNP, FNP-C
Nurse Practitioner (Family)
1920 W 8TH ST
ERIE, PA 16505
Erie County (814) 456-1097
SCIAMANDA TOTAL HEALTH AND WELLNESS
Family Medicine
1920 W 8TH ST
ERIE, PA 16505
Erie County (814) 456-1097

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 Sciamanda's NPI number?

The NPI number for Dominic Sciamanda is 1336107887. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Dominic Sciamanda located?

Dominic Sciamanda practices at 1920 W 8th St, Erie, PA 16505. The listed phone number is (814) 456-1097.

What is Dominic Sciamanda's specialty?

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

Is Dominic Sciamanda enrolled in Medicare?

Yes. Dominic Sciamanda 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.

Which organization bills Medicare for Dominic Sciamanda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Sciamanda reassigns Medicare benefits to Sciamanda Total Health And Wellness (Erie, PA). 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 Dominic Sciamanda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominic Sciamanda accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Dominic Sciamanda 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 Sciamanda affiliated with any hospitals?

According to CMS data, Dominic Sciamanda is affiliated with Saint Vincent Hospital, Upmc Hamot and Millcreek Community Hospital.

When was this NPI record last updated?

The NPPES record for Dominic Sciamanda was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.