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DOMENIC WILLIAM CASABLANCA M.D.
NPI 1548227267
Family Medicine in East Hampton, CT

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
42 E HIGH ST STE 205, EAST HAMPTON, CT 06424(860) 358-3500 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Domenic William Casablanca M.d. NPPES

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

DOMENIC WILLIAM CASABLANCA M.D. (NPI 1548227267) is an individual family medicine provider in East Hampton, Connecticut, licensed in Connecticut (037602) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1993).

NPPES Registry Identity

NPI1548227267
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOMENIC WILLIAM CASABLANCACredential: M.D.
Location Address42 E HIGH ST STE 205East Hampton, CT 06424-1073
Mailing Address28 Crescent StMiddletown, CT 06457-3650 · (860) 358-6000
Phone(860) 358-3500
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1993
Enumeration DateApril 27, 2006
Last NPPES UpdateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
✔ NPI 1548227267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CT · 037602✔ Licensed in NY · 204552✔ Licensed in NJ · MA060820
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.
42 E HIGH ST STE 205, East Hampton, CT 06424
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Other Identifiers 1

Medicaid001376020CT

Accepted Insurance

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

Domenic William Casablanca 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 ID9739153826
PECOS Enrollment IDI20090916000371
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 Reassignments

2

Medicare enrollment records show Domenic Casablanca reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Middlesex Hospital Dba Family Practice Group Portland
6.4 mi
Medical
595 MAIN ST
Portland, CT 06480
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Middlesex Hospital
  • 66 clinicians in this Medicare group
NPI 1568597128 (860) 344-6394
Mhs Primary Care Inc
21 mi
Urgent Care
154 MAIN ST
Old Saybrook, CT 06475
  • Reassigned Medicare billing, Connecticut enrollment
  • 32 clinicians in this Medicare group
NPI 1093138935 (860) 661-5976

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 12

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 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.
143 services91 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
81 services50 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
76 services44 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.
69 services24 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
44 services33 patients
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.
34 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06424 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers23 claims23 services$207.52 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 2

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

DR. RACHEL SUSAN MADORE DO
Student in an Organized Health Care Education/Training Program
42 E HIGH ST STE 205
EAST HAMPTON, CT 06424
Lower Connecticut River Valley Planning Region (860) 358-6418
ANA MARIEL GARCIA D.O.
Family Medicine
42 E HIGH ST STE 205
EAST HAMPTON, CT 06424
Lower Connecticut River Valley Planning Region (860) 358-3500

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 Domenic Casablanca's NPI number?

The NPI number for Domenic Casablanca is 1548227267. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Domenic Casablanca located?

Domenic Casablanca practices at 42 E High St Ste 205, East Hampton, CT 06424. The listed phone number is (860) 358-3500.

What is Domenic Casablanca's specialty?

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

Is Domenic Casablanca enrolled in Medicare?

Yes. Domenic Casablanca 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 organizations bill Medicare for Domenic Casablanca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Domenic Casablanca reassigns Medicare benefits to 2 organizations: Middlesex Hospital Dba Family Practice Group Portland (Portland, CT) and Mhs Primary Care Inc (Old Saybrook, CT). Each 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 Domenic Casablanca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Domenic Casablanca accept?

Health plans from Anthem Blue Cross and Blue Shield list Domenic Casablanca 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.

When was this NPI record last updated?

The NPPES record for Domenic Casablanca was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.