Provider Profile
Listed in the NPI registry as a physician assistant, Michael W. Dominisse, PA practices in Fort Worth, TX. According to Medicare claims data, Michael cared for 84 Medicare patients across 135 services. The services billed most often include destruction of precancer skin growth, 2-14 growths, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and destruction of precancer skin growth, 1 growth.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Source: NPPES NPI Registry
5751 EDWARDS RANCH RD STE 101
Fort Worth, TX 76109
135 services · 84 patients · 4 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Destruction of precancer skin growth, 2-14 growths | Procedure | 17003 |
62 |
| Destruction of precancer skin growth, 1 growth | Procedure | 17000 |
15 |
| Destruction of skin growth, 1-14 growths | Procedure | 17110 |
11 |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
47 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Michael W. Dominisse is a physician assistant in Fort Worth, TX. That is the designation recorded for this NPI in the federal registry.
NPI registry
Michael W. Dominisse is listed at 5751 Edwards Ranch Rd Ste 101, Fort Worth, TX 76109. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (817) 923-8220. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Michael W. Dominisse's National Provider Identifier is 1962914580. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Michael W. Dominisse attended Other, graduating in 2017. This comes from the CMS National Downloadable File.
CMS public data
Michael W. Dominisse has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Michael W. Dominisse performs procedures including destruction of precancer skin growth, 2-14 growths, destruction of precancer skin growth, 1 growth and destruction of skin growth, 1-14 growths, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Michael W. Dominisse. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.