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DOMINIC JAMES VERNON MD
NPI 1851737803
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Indianapolis, IN

Active since May 17, 2013PECOS EnrolledAccepts Medicare Assignment
1130 W MICHIGAN ST STE 400, INDIANAPOLIS, IN 46202(317) 944-5000 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2025, Nov 23, 2020, May 9, 2018 (3 updates tracked since 2018).

About Dominic James Vernon Md NPPES

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

DOMINIC JAMES VERNON MD (NPI 1851737803) is an individual otolaryngology/facial plastic surgery provider in Indianapolis, Indiana, licensed in Indiana (01082463A) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and is a graduate of Indiana University School Of Medicine (2013).

NPPES Registry Identity

NPI1851737803
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDOMINIC JAMES VERNONCredential: MD
Location Address1130 W MICHIGAN ST STE 400Indianapolis, IN 46202-5209
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 944-5000
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2013
Enumeration DateMay 17, 2013
Last NPPES UpdateApril 11, 20253 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1851737803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in IN · 01082463A
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 01082463A (IN), D84871 (MD)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1130 W MICHIGAN ST STE 400, Indianapolis, IN 46202
Open in Google Maps ↗

Other Identifiers 2

Other000001300219IN · Anthem Ptan
Medicaid300029615IN

Accepted Insurance

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

Dominic James Vernon 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 ID5294976882
PECOS Enrollment IDI20190829001372
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 Reassignments

2

Medicare enrollment records show Dominic Vernon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Otolaryngology Associates, Inc.
0.1 mi
Otolaryngology
705 RILEY HOSPITAL DR, SUITE 0860
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 62 clinicians in this Medicare group
NPI 1275563447 (317) 630-8970
Iu Health Medical Group, LLC
1.3 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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 5

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 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.
37 services33 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.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
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.
18 services17 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

WALTER FITSCHEN
Student in an Organized Health Care Education/Training Program
1130 W MICHIGAN ST STE 400
INDIANAPOLIS, IN 46202
Marion County (317) 278-1286
DR. ELISA ANNE ILLING M.D.
Otolaryngology
1130 W MICHIGAN ST STE 400
INDIANAPOLIS, IN 46202
Marion County (317) 278-1219
STEVEN X CHEN MD, PHD
Student in an Organized Health Care Education/Training Program
1130 W MICHIGAN ST STE 400
INDIANAPOLIS, IN 46202
Marion County (317) 278-1286

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 Dominic Vernon's NPI number?

The NPI number for Dominic Vernon is 1851737803. It was assigned to this individual provider in the NPPES registry on May 17, 2013.

Where is Dominic Vernon located?

Dominic Vernon practices at 1130 W Michigan St Ste 400, Indianapolis, IN 46202. The listed phone number is (317) 944-5000.

What is Dominic Vernon's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Dominic Vernon enrolled in Medicare?

Yes. Dominic Vernon 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.

Which organizations bill Medicare for Dominic Vernon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Vernon reassigns Medicare benefits to 2 organizations: University Otolaryngology Associates, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominic Vernon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominic Vernon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Dominic Vernon 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 Dominic Vernon affiliated with any hospitals?

According to CMS data, Dominic Vernon is affiliated with Eskenazi Health, Indiana University Health and Iu Health West Hospital.

When was this NPI record last updated?

The NPPES record for Dominic Vernon was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.