Michael Dominisse, PA
NPI 1962914580 · Physician Assistant · Fort Worth, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Dominisse, PA is a Physician Assistant provider in Fort Worth, TX (NPI 1962914580).
Provider details
- NPI number
- 1962914580
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
135 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 62 | $5 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 47 | $106 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 15 | $33 |
| Destruction of Skin Growth, 1-14 Growths17110 | 11 | $85 |
Typical Medicare-allowed amounts for these services range $5–$106 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clobetasol Propionate | 73 | 44 |
| Hydrocortisone | 61 | 40 |
| Triamcinolone Acetonide | 46 | 40 |
| Ketoconazole | 46 | 23 |
| Fluorouracil | 45 | 39 |
| Doxycycline Hyclate | 30 | 21 |
| Ciclopirox | 25 | 17 |
| Dupilumabbrand: Dupixent Pen | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,584 across 62 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-11-05
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Frequently asked questions
- What is Michael Dominisse's NPI number?
- Michael Dominisse's National Provider Identifier (NPI) is 1962914580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Dominisse's specialty?
- Michael Dominisse is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Dominisse located?
- Michael Dominisse's practice location on file with NPPES is 5751 Edwards Ranch Rd Ste 101, Fort Worth, TX 76109-4131.
- What is Michael Dominisse's phone number?
- The practice phone number listed in the NPPES registry for Michael Dominisse is (817) 923-8220.
- Does Michael Dominisse accept Medicare?
- Michael Dominisse is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Dominisse's NPI active?
- Yes — Michael Dominisse's NPI (1962914580) is active in the NPPES registry as of the last update on 2026-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.