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ETHAN ROSS DOMINGUEZ DO
NPI 1548900574
Family Medicine in Zephyrhills, FL

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment
38135 MARKET SQUARE DR STE 103, ZEPHYRHILLS, FL 33542(813) 815-5400 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ethan Ross Dominguez Do NPPES

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

ETHAN ROSS DOMINGUEZ DO (NPI 1548900574) is an individual family medicine provider in Zephyrhills, Florida, licensed in Florida (22271) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and maintains a secondary practice location in Fort Smith.

NPPES Registry Identity

NPI1548900574
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameETHAN ROSS DOMINGUEZCredential: DO
Location Address38135 MARKET SQUARE DR STE 103Zephyrhills, FL 33542-7505
Mailing Address38135 Market Square Dr Ste 103Zephyrhills, FL 33542-7505 · (813) 815-5400 · Fax (813) 355-5074
Phone(813) 815-5400
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2022
Enumeration DateMarch 29, 2022
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1548900574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 22271
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
38135 MARKET SQUARE DR STE 103, Zephyrhills, FL 33542
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Secondary Practice Location 1

Location 1612 S 12th StFort Smith, AR 72901-4702 · Phone (479) 785-2431

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

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

Ethan Ross Dominguez 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 ID2668859638
PECOS Enrollment IDI20250605000019
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.

Hospital Affiliations CMS Care Compare

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

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100046
Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33542 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Ethan Dominguez's NPI number?

The NPI number for Ethan Dominguez is 1548900574. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Ethan Dominguez located?

Ethan Dominguez practices at 38135 Market Square Dr Ste 103, Zephyrhills, FL 33542. The listed phone number is (813) 815-5400.

What is Ethan Dominguez's specialty?

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

Is Ethan Dominguez enrolled in Medicare?

Yes. Ethan 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.

What insurance does Ethan Dominguez accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Ethan Dominguez 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 Ethan Dominguez affiliated with any hospitals?

According to CMS data, Ethan Dominguez is affiliated with Florida Hospital Zephyrhills.

When was this NPI record last updated?

The NPPES record for Ethan Dominguez was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.