DR. DOMINICK SAM DEFELICE MD
NPI 1720577992
Family Medicine in Wilmington, NC

Q: What is Dominick Defelice's NPI number?

The NPI number for Dominick Defelice is 1720577992. It was assigned to this individual provider in the NPPES registry on May 3, 2018.

Q: What is Dominick Defelice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dominick Defelice was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 03, 2018PECOS EnrolledAccepts Medicare Assignment

2523 DELANEY AVE, WILMINGTON, NC 28403(910) 763-5522(910) 763-0413 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 1, 2023, Jul 7, 2023, May 10, 2022 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Dominick Sam Defelice Md NPPES

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

DR. DOMINICK SAM DEFELICE MD (NPI 1720577992) is an individual family medicine provider in Wilmington, North Carolina, licensed in North Carolina (2023-00901) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1720577992

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DOMINICK SAM DEFELICECredential: MD

Location Address2523 DELANEY AVEWilmington, NC 28403-6003

Mailing AddressPo Box 936857Atlanta, GA 31193-6857 · (910) 763-5522 · Fax (910) 763-0413

Phone(910) 763-5522

Fax(910) 763-0413

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 3, 2018

Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1720577992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 2023-00901✔ Licensed in NY · 309120

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPathology · NeuropathologyTaxonomy 207ZN0500X · License 309120 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2523 DELANEY AVE, Wilmington, NC 28403

Open in Google Maps ↗

Secondary Practice Location 1

Location 1777 Clinton Ave SRochester, NY 14620-1448 · Phone (585) 279-4800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Dr. Dominick Sam Defelice 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 ID6709139744

PECOS Enrollment IDI20231025000174

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

Novant Health Medical Group Coastal Region, LLC

Same address

Family Medicine

2523 DELANEY AVE
Wilmington, NC 28403

Reassigned Medicare billing, North Carolina enrollment
710 clinicians in this Medicare group

NPI 1538749148 (910) 763-5522

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

98 services77 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

53 services15 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.

35 services31 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

DR. ROBERT NICHOLAS KNEAR-BELL MD

Family Medicine