LUBOMYR DOMASHEVSKY MD
NPI 1619927159
Emergency Medicine in Grafton, WI

Q: What is Lubomyr Domashevsky's NPI number?

The NPI number for Lubomyr Domashevsky is 1619927159. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Lubomyr Domashevsky's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment

975 PORT WASHINGTON RD, GRAFTON, WI 53024(262) 329-1900 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lubomyr Domashevsky Md NPPES

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

LUBOMYR DOMASHEVSKY MD (NPI 1619927159) is an individual emergency medicine provider in Grafton, Wisconsin, licensed in Wisconsin (47504-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1994).

NPPES Registry Identity

NPI1619927159

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameLUBOMYR DOMASHEVSKYCredential: MD

Location Address975 PORT WASHINGTON RDGrafton, WI 53024-9201

Mailing Address975 Port Washington RdGrafton, WI 53024-9201 · (262) 329-1900

Phone(262) 329-1900

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1994

Enumeration DateMay 12, 2006

Last NPPES UpdateDecember 28, 2021

NPPES CertifiedDecember 28, 2021

✔ NPI 1619927159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WI · 47504-020

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

975 PORT WASHINGTON RD, Grafton, WI 53024

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Other Identifiers 3

OtherP00240569WI · Medicare Railroad

Medicaid34643000WI

OtherP00273830WI · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Lubomyr Domashevsky 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.

PECOS PAC ID143263178

PECOS Enrollment IDI20050609000884

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 Lubomyr Domashevsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.

23 mi

Obstetrics & Gynecology

8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1457592735 (414) 328-8650

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

207 services189 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

43 services41 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

35 services34 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

34 services34 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53024 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

ANNE R. HARLEY P.T.

Physical Therapist