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Fernando B Domondon JR.

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NPI Number Detailed Information

Provider Information:

Name: Fernando B Domondon JR.
Gender: M
Provider License Number If Given: 196197-1

NPI Information:

NPI: 1013969492
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/16/2006

Last Update Date: 6/28/2023

Reputation Report:

Provider Business Mailing Address:

Address: 6653 MAIN ST
Williamsville, NY 14221
Phone Number: 7162044500
Fax Number: 7162044501

Provider Business Practice Location Address:

Address: S 3669 SOUTHWESTERN BLVD MERCY AMBULATORY CARE CENTER
Orchard Park, NY 14127
Phone Number: 7162044500
Fax Number: 7162044501

Provider Taxonomy:

Primary: 207PE0004X
Secondary (if any): 207P00000X
State: NY

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About Fernando B Domondon JR.

Fernando B Domondon JR.( FERNANDO B DOMONDON JR.) is An Emergency Medicine Physician in Orchard Park, NY. The NPI Number for Fernando B Domondon JR. is 1013969492.
The current location address for Fernando B Domondon JR. is S 3669 SOUTHWESTERN BLVD MERCY AMBULATORY CARE CENTER Orchard Park, NY 14127 and the contact number is 7162044500 and fax number is 7162044501. The mailing address for Fernando B Domondon JR. is 6653 MAIN ST Williamsville, NY 14221- 7162044500 (mailing address contact number - 7162044500).
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider Business Location on Map

FAQs:

What is the NPI Number for Fernando B Domondon JR.?


Answer: The NPI Number for Fernando B Domondon JR. is 1013969492

Where is Fernando B Domondon JR. located?


Answer: Fernando B Domondon JR. is located at S 3669 SOUTHWESTERN BLVD MERCY AMBULATORY CARE CENTER Orchard Park, NY 14127.

What is the specialty for Fernando B Domondon JR.?


Answer: The Specialty of Fernando B Domondon JR. is An Emergency Medicine Physician.

Are there any online reviews for Fernando B Domondon JR.?


Answer: Yes! Check It Now.

Are there any other health care providers in Orchard Park, NY?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Fernando B Domondon JR.

Number of HCPCS 13
Number of Medicare Beneficiaries 217
Number of Services 234
Total Submitted Charge Amount 205231
Total Medicare Allowed Amount 30473.4
Total Medicare Payment Amount 23054
Total Medicare Standardized Payment Amount 22981.26
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 13
Number of Medicare Beneficiaries With Medical 217
Number of Medical Services 234
Total Medical Submitted Charge Amount 205231
Total Medical Medicare Allowed Amount 30473.4
Total Medical Medicare Payment Amount 23054
Total Medical Medicare Standardized Payment Amount 22981.26
Average Age of Beneficiaries 67
Number of Beneficiaries Age Less 65 81
Number of Beneficiaries Age 65 to 74 66
Number of Beneficiaries Age 75 to 84 41
Number of Beneficiaries Age Greater 84 29
Number of Female Beneficiaries 122
Number of Male Beneficiaries 95
Number of Non-Hispanic White Beneficiaries 193
Number of Black or African American Beneficiaries 11
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 92
Number of Beneficiaries With Medicare Only Entitlement 125
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.17
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.17
Percent (%) of Beneficiaries Identified With Asthma 0.18
Percent (%) of Beneficiaries Identified With Cancer 0.09
Percent (%) of Beneficiaries Identified With Heart Failure 0.22
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.49
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.17
Percent (%) of Beneficiaries Identified With Depression 0.33
Percent (%) of Beneficiaries Identified With Diabetes 0.33
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.68
Percent (%) of Beneficiaries Identified With Hypertension 0.67
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.41
Percent (%) of Beneficiaries Identified With Osteoporosis 0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.45
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.08
Percent (%) of Beneficiaries Identified With Stroke 0.08
Average HCC Risk Score of Beneficiaries 1.687

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Internal Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 314
Number of Standardized 30-Day Fills 319.66666667
Aggregate Cost Paid for All Claims 4958.81
Number of Day's Supply for All Claims 3512
Number of Medicare Beneficiaries 242
Number of Claims, Including Refills, for Beneficiaries Age 65+ 237
Including Refills, for Beneficiaries Age 65+ 240.66666667
Beneficiaries Age 65+ 3847.13
Number of Day's Supply for All Claims for Beneficaries Age 65+ 2517
Number of Medicare Beneficiaries Age 65+ 189
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 14
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 300
Aggregate Cost Paid for Generic Drugs 3150.43
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 221
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 3170.14
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 93
Aggregate Cost Paid for Claims Filled by 1788.67
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 85
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1066.52
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 229
by Low-Income Subsidy 3892.29
Total Claims of Opioid Drugs, Including 20
Aggregate Cost Paid for Opioid Drugs 67.93
Opioid Claims 19
Opioid_Tot_Clms divided by the Tot_Clms 6.3694267516
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 132
Aggregate Cost Paid for Antibiotic Drugs 1530.68
Antibiotic Claims 116
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 70.404958678
Number of Beneficiaries Age Less Than 65 53
Number of Beneficiaries Age 65 to 74 87
Number of Beneficiaries Age 75 to 84 75
Number of Female Beneficiaries 136
Number of Male Beneficiaries 106
Number of Non-Hispanic White 216
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 181
Average Hierarchical Condition Category 1.2833645703

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