DR. MICHELE DOMENICK MD
NPI 1720052400
Surgery in Easton, MD

Q: What is Michele Domenick's NPI number?

The NPI number for Michele Domenick is 1720052400. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Q: What is Michele Domenick's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Michele Domenick was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 17, 2006PECOS EnrolledAccepts Medicare Assignment

500 CADMUS LN STE 205, EASTON, MD 21601(410) 822-4553 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michele Domenick Md NPPES

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

DR. MICHELE DOMENICK MD (NPI 1720052400) is an individual surgery provider in Easton, Maryland, licensed in Maryland (D92021) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Ctr At Chestertown, and maintains a secondary practice location in Dover.

NPPES Registry Identity

NPI1720052400

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. MICHELE DOMENICKCredential: MD

Location Address500 CADMUS LN STE 205Easton, MD 21601-4094

Mailing Address200 Banning St, Suite 310Dover, DE 19904-3485 · (302) 674-0600 · Fax (302) 672-7144

Phone(410) 822-4553

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateFebruary 17, 2006

Last NPPES UpdateJuly 20, 2021

NPPES CertifiedJuly 20, 2021

✔ NPI 1720052400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MD · D92021

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSpecialistTaxonomy 174400000X · License C1-0006569 (DE)

Also ListedFamily MedicineTaxonomy 207Q00000X · License C1-0006569 (DE)

500 CADMUS LN STE 205, Easton, MD 21601

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Secondary Practice Location 1

Location 1200 Banning St, Suite 200Dover, DE 19904-3485 · Phone (302) 674-0600 · Fax (302) 672-7144

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. Michele Domenick 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 ID1759341407

PECOS Enrollment IDI20210726002185

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 11

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 straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

127 services127 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

115 services100 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

113 services113 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

87 services83 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

46 services46 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

42 services42 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Shore Medical Ctr At Chestertown

Acute Care Hospitals · Chestertown, MD

OwnershipVoluntary non-profit - Private

CMS Certification Number210030

Location100 Brown StreetChestertown, MD 21620 · Kent County

Emergency services

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210037

Location219 South Washington StreetEaston, MD 21601 · Talbot County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21601 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

Most-billed visit code 99213

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA HAHN MD

Surgery