DR. ANTHONY M DOMINIC JR. D.O.
NPI 1457395485
Anesthesiology in Columbus, OH

Active since June 16, 2006PECOS Enrolled
5300 N MEADOWS DRIVE, MOUNT CARMEL GROVE CITY, COLUMBUS, OH 43123(602) 769-4159 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2020, Jul 12, 2019 (2 updates tracked since 2019).

About Dr. Anthony M Dominic Jr. D.o. NPPES

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

DR. ANTHONY M DOMINIC JR. D.O. (NPI 1457395485) is an individual anesthesiology provider in Columbus, Ohio, licensed in Ohio (34.011117) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457395485
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. ANTHONY M DOMINIC JR.Credential: D.O.
Location Address5300 N MEADOWS DRIVE, MOUNT CARMEL GROVE CITYColumbus, OH 43123
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 347-1078 · Fax (417) 347-1079
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1457395485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in OH · 34.011117✔ Licensed in MO · 2009032905✔ Licensed in AL · DO-777
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
5300 N MEADOWS DRIVE, Columbus, OH 43123

Other Identifiers 1

Medicaid051552547AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony M Dominic Jr. D.o. 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 Anthony Dominic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
5300 N MEADOWS DR
Grove City, OH 43123
  • Reassigned Medicare billing, Ohio enrollment
  • 280 clinicians in this Medicare group

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

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

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%1,148 patients5/55-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.

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 Anthony Dominic's NPI number?

The NPI number for Anthony Dominic is 1457395485. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Anthony Dominic located?

Anthony Dominic practices at 5300 N Meadows Drive Mount Carmel Grove City, Columbus, OH 43123. The listed phone number is (602) 769-4159.

What is Anthony Dominic's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Anthony Dominic enrolled in Medicare?

Yes. Anthony Dominic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anthony Dominic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Dominic reassigns Medicare benefits to Premier Anesthesia Of Ohio LLC (Grove City, OH). 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 Anthony Dominic'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 Anthony Dominic was last updated on June 29, 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.