GARY F DOMERACKI MD
NPI 1558359471
Ophthalmology in Philadelphia, PA
About Gary F Domeracki Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY F DOMERACKI MD (NPI 1558359471) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD063291L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Gary F Domeracki Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Gary Domeracki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19140
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Temple Health - Chestnut Hill Hospital
Acute Care Hospitals · Philadelphia, PATemple University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
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 Gary Domeracki's NPI number?
The NPI number for Gary Domeracki is 1558359471. It was assigned to this individual provider in the NPPES registry on October 13, 2005.
Where is Gary Domeracki located?
Gary Domeracki practices at 3401 N Broad St 6th Fl Parkinson Pavilion, Philadelphia, PA 19140. The listed phone number is (215) 707-3185.
What is Gary Domeracki's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Gary Domeracki enrolled in Medicare?
Yes. Gary Domeracki 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 Gary Domeracki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Domeracki reassigns Medicare benefits to Temple Faculty Practice Plan Inc (Philadelphia, 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 Gary Domeracki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gary Domeracki accept?
Health plans from Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Gary Domeracki 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 Gary Domeracki affiliated with any hospitals?
According to CMS data, Gary Domeracki is affiliated with Temple Health - Chestnut Hill Hospital and Temple University Hospital.
When was this NPI record last updated?
The NPPES record for Gary Domeracki was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Gary F Domeracki, MD · NPI 1558359471
Ophthalmology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 13, 2005.
## Identity
- **NPI:** 1558359471 (Entity type: Individual)
- **Enumerated:** October 13, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD063291L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 N BROAD ST, 6TH FL PARKINSON PAVILION, Philadelphia, PA 19140-5103
- **Phone:** (215) 707-3185 · **Fax:** (215) 707-1684
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Temple Faculty Practice Plan Inc (NPI 1235611179, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 1995
## Record status
- **NPPES last updated:** March 21, 2017
- **Other identifiers:** Medicare UPIN G88538; Medicaid 00178192300012 (PA); Medicare ID-Type Unspecified 025124
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Source: [NPI Profile](https://npiprofile.com/npi/1558359471) · Data from the CMS NPPES public registry.