PETER DOMAOAL P.A. -C
NPI 1639549538
Physician Assistant - Surgical in New York, NY

Active since October 05, 2015PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
170 WILLIAM ST, NEW YORK, NY 10038(212) 312-5000 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter Domaoal P.a. -c NPPES

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

PETER DOMAOAL P.A. -C (NPI 1639549538) is an individual surgical provider in New York, New York, licensed in New York (019164) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639549538
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NamePETER DOMAOALCredential: P.A. -C
Location Address170 WILLIAM STNew York, NY 10038-2612
Mailing Address170 William StNew York, NY 10038-2612
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 5, 2015
Last NPPES UpdateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
NPI 1639549538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 019164
170 WILLIAM ST, New York, NY 10038

Accepted 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

Peter Domaoal P.a. -c 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 ID840597936
PECOS Enrollment IDI20200414000893
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 2

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
170 WILLIAM ST
NEW YORK, NY 10038
Physical Therapist
170 WILLIAM ST, REHAB DEPARTMENT
NEW YORK, NY 10038
Nuclear Medicine (Nuclear Cardiology)
170 WILLIAM ST, SUITE 814
NEW YORK, NY 10038
Internal Medicine
170 WILLIAM ST, FL 7
NEW YORK, NY 10038
Anesthesiology
170 WILLIAM ST, SUITE 288 WEILL CORNELL MEDICINE LMH,
NEW YORK, NY 10038
Internal Medicine
170 WILLIAM ST
NEW YORK, NY 10038
Physician Assistant (Medical)
170 WILLIAM ST
NEW YORK, NY 10038
Physician Assistant
170 WILLIAM ST
NEW YORK, NY 10038

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 Peter Domaoal's NPI number?

The NPI number for Peter Domaoal is 1639549538. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Where is Peter Domaoal located?

Peter Domaoal practices at 170 William St, New York, NY 10038. The listed phone number is (212) 312-5000.

What is Peter Domaoal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Peter Domaoal enrolled in Medicare?

Yes. Peter Domaoal 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 Peter Domaoal accept?

Health plans from CareSource list Peter Domaoal 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 Peter Domaoal affiliated with any hospitals?

According to CMS data, Peter Domaoal is affiliated with Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Peter Domaoal was last updated on September 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.