Doctor profile · Federal record

Dr. Kellie Dominessy, PA-C, MMS, ATC

Surgical Physician Assistant · Physician Assistant · Fort Lauderdale, FL

  • NPI 1932403383
  • 16 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2307 W Broward Blvd, Ste 200
Fort Lauderdale, FL 333121417
(954) 792-1010
fax (954) 792-1199

Credentials & registration

NPPES · NUCC
NPI registered
December 2010 — 16 yrs on file
Profile last updated
March 28, 2016
Specialty taxonomy
363AS0400X — NUCC code
State license (1)
Florida #PA9105661
Medicaid
FL #003180000

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1932403383. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
251
Distinct HCPCS
6
Medicare allowed
$7,156
HCPCS Description Services Patients Avg allowed
73564 X-ray of knee, 4 or more views 81 77 $12
73502 X-ray of hip, 2-3 views 67 60 $9
99214 Established patient office or other outpatient visit, 30-39 minutes 36 36 $85
20610 Aspiration and/or injection of fluid from large joint 33 32 $45
73522 X-ray of both hips, 3-4 views 21 21 $12
99213 Established patient office or other outpatient visit, 20-29 minutes 13 13 $58

In context: peer comparison

Among 4 peers in this city , average services per provider: 49. This provider delivers 5.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
237
Patients
148
Total drug cost
$1,019
Drug Type Claims Patients Total cost
Amoxicillin Generic 93 50 $101
Mupirocin Generic 58 57 $466
Meloxicam Generic 35 16 $164
Clindamycin Hcl Generic 24 12 $23
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 16 13 $209
Tramadol Hcl Generic 11 0 $54

Frequently asked questions

Auto-generated from federal data
What is Dr. Kellie Dominessy's medical specialty?
Dr. Kellie Dominessy practices Surgical Physician Assistant in Fort Lauderdale, FL.
Where does Dr. Kellie Dominessy practice?
Dr. Kellie Dominessy practices at 2307 W Broward Blvd, Fort Lauderdale, FL 333121417. Office phone: 9547921010.
What is Dr. Kellie Dominessy's NPI?
Dr. Kellie Dominessy's National Provider Identifier (NPI) is 1932403383, issued by NPPES.
What procedures does Dr. Kellie Dominessy commonly perform?
Top Medicare-reported procedures in 2023: X-ray of knee, 4 or more views (HCPCS 73564); X-ray of hip, 2-3 views (HCPCS 73502); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.