DR. LISETTE DOMINGUEZ DO
NPI 1578023842
Psychiatry & Neurology - Neurology in Circleville, OH

Q: What is Lisette Dominguez's NPI number?

The NPI number for Lisette Dominguez is 1578023842. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Q: What is Lisette Dominguez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Lisette Dominguez was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment

600 N PICKAWAY ST STE 200, CIRCLEVILLE, OH 43113(614) 533-5500(614) 533-0103 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2024, Nov 30, 2021, Sep 1, 2020 and 4 more (7 updates tracked since 2019).

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About Dr. Lisette Dominguez Do NPPES

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

DR. LISETTE DOMINGUEZ DO (NPI 1578023842) is an individual neurology provider in Circleville, Ohio, licensed in Ohio (34.017288) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1578023842

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. LISETTE DOMINGUEZCredential: DO

Location Address600 N PICKAWAY ST STE 200Circleville, OH 43113-1447

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(614) 533-5500

Fax(614) 533-0103

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 22, 2019

Last NPPES UpdateJuly 23, 20247 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1578023842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in OH · 34.017288✔ Licensed in FL · UO6775✔ Licensed in FL · OS17146

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedInternal MedicineTaxonomy 207R00000X · License UO6775 (FL)

600 N PICKAWAY ST STE 200, Circleville, OH 43113

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Accepted Insurance

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

Dr. Lisette 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 ID7012242654

PECOS Enrollment IDI20240823001526

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.

Areas of Expertise CMS Part B claims

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360017

Location111 South Grant AvenueColumbus, OH 43215 · Franklin County

Emergency services Birthing friendly

Berger Hospital

Acute Care Hospitals · Circleville, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360170

Location600 North Pickaway StreetCircleville, OH 43113 · Pickaway County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43113 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 Lisette Dominguez's NPI number?

The NPI number for Lisette Dominguez is 1578023842. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Lisette Dominguez located?

Lisette Dominguez practices at 600 N Pickaway St Ste 200, Circleville, OH 43113. The listed phone number is (614) 533-5500.

What is Lisette Dominguez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lisette Dominguez enrolled in Medicare?

Yes. Lisette 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 Lisette Dominguez accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Lisette 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 Lisette Dominguez affiliated with any hospitals?

According to CMS data, Lisette Dominguez is affiliated with Riverside Methodist Hospital, Grant Medical Center and Berger Hospital.

When was this NPI record last updated?

The NPPES record for Lisette Dominguez was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.