COURTNEY MICHELE DOMINIC D.O.
NPI 1770995482
Pediatrics in Philadelphia, PA

Q: What is Courtney Dominic's NPI number?

The NPI number for Courtney Dominic is 1770995482. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Q: What is Courtney Dominic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Dominic was last updated on April 30, 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 May 29, 2014PECOS Enrolled

160 E. ERIE AVENUE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, PHILADELPHIA, PA 19134(215) 427-5000 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Courtney Michele Dominic D.o. NPPES

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

COURTNEY MICHELE DOMINIC D.O. (NPI 1770995482) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS018584) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770995482

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCOURTNEY MICHELE DOMINICCredential: D.O.

Location Address160 E. ERIE AVENUE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDRENPhiladelphia, PA 19134

Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324

Phone(215) 427-5000

Sole ProprietorNo

Enumeration DateMay 29, 2014

Last NPPES UpdateApril 30, 2024

NPPES CertifiedApril 30, 2024

✔ NPI 1770995482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · OS018584

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

160 E. ERIE AVENUE, Philadelphia, PA 19134

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Michele Dominic D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 2

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

DR. ISAIAH ABRAHAM GROSSMAN MD

Student in an Organized Health Care Education/Training Program

160 E. ERIE AVENUE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, PEDIATRIC RESI
PHILADELPHIA, PA 19134

Philadelphia County (646) 937-3101

CLARISSA CHU

Pediatrics

160 E. ERIE AVENUE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5127

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 Courtney Dominic's NPI number?

The NPI number for Courtney Dominic is 1770995482. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Courtney Dominic located?

Courtney Dominic practices at 160 E. Erie Avenue St. Christopher's Hospital For Children, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.

What is Courtney Dominic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Courtney Dominic enrolled in Medicare?

Yes. Courtney Dominic is registered in the Medicare PECOS enrollment system.

What insurance does Courtney Dominic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Courtney Dominic 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.

When was this NPI record last updated?

The NPPES record for Courtney Dominic was last updated on April 30, 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.