NPPES file of Aug 9, 2026

Justin Domenico

Physician Assistant · Wynnewood, PA

Justin Domenico is a physician assistant with a practice address in Wynnewood, Pennsylvania, and NPI 1053960690, issued on Sep 6, 2019. Check the license with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053960690
Name
Justin Domenico
Primary taxonomy
Physician Assistant 363A00000X
Practice location
100 E Lancaster Ave, Wynnewood, PA 19096
Phone
(484) 476-2000
Enumerated
Sep 6, 2019
Record last updated
Sep 6, 2019 (not updated in 7 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20191221000453); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 100 E Lancaster Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nicholas Abate, DOStudent in an Organized Health Care Education/Training Program1508568676
  2. John Abramson, M.D.Gastroenterology Physician1710953633
  3. Sandra Abramson, MDCardiovascular Disease Physician1275538282
  4. Olivia Ackley, MDInternal Medicine Physician1174453930
  5. Ashley Adams, CRNPWomen's Health Nurse Practitioner1497225635
  6. Bonnie Adelman, M.S.P.A.Audiologist1568718088

Verify Justin Domenico in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Pennsylvania board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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77% fewer Medicare Part D claims than the average physician assistant in 2024

190 Medicare Part D claims for 147 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 15 claims were for opioids.

  1. Justin Domenico190
  2. Specialty average830

Most prescribed

  1. Cefuroxime36 claims
  2. Cephalexin13 claims
  3. Prednisone13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $138.44

2 payments; by number, the most common kind was food and beverage; the largest payer was Inspire Medical Systems, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Justin Domenico$138.44
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. University OF Penn - Medical GroupPhiladelphia, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

54 physician assistant records list a practice address in Wynnewood

They are 54 of the 1,246 NPPES records with a practice address in Wynnewood, and 8,020 physician assistant records in Pennsylvania.

Other physician assistant records in Pennsylvania

  1. Matthew AbadLansdowne, PA1720113350
  2. Ariane Abadi, PA-CPhiladelphia, PA1619641685
  3. Rama Abbireddy, PABethlehem, PA1912887555
  4. Marianne Abdalah, PASewickley, PA1346088473
  5. Donia Abdalla, MMSC, PA-CHarrisburg, PA1164376851
  6. Raneem Abdelaziz, PA-CQuakertown, PA1003764713
  7. Safiyya Abdul-Ghani, PAOaks, PA1689904161
  8. Lauren Abdul-Malak, PAAbington, PA1083196117
  9. Katherine Abel, PA-CSteelton, PA1972944437
  10. Mark Abel, PA-CSouth Abington Township, PA1710131610

Common questions

What is Justin Domenico's NPI number?

Justin Domenico's National Provider Identifier (NPI) is 1053960690, issued on Sep 6, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Justin Domenico located?

The NPPES record lists a practice address at 100 E Lancaster Ave, Wynnewood, PA, 19096. Phone: (484) 476-2000. Providers update this record themselves, so call before visiting.

How can I verify Justin Domenico's license?

Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.

How much does Justin Domenico prescribe under Medicare Part D?

In 2024, Justin Domenico had 190 Medicare Part D claims for 147 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.