Doctor profile · Federal record
Dr. Louis Domenico, MD
Vascular & Interventional Radiology Physician (CMS: Interventional Radiology) · Diagnostic Radiology Physician · Diagnostic Radiology Physician · Vascular & Interventional Radiology Physician · Philadelphia, PA
- NPI 1942380902
- Accepts Medicare
- MIPS 95.9 / 100 · 2023
- 26 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2412-14 West Passyunk Avenue
Philadelphia, PA 191454114
(215) 462-2100
fax (215) 462-3100 - Mailing address
-
Po Box 416147
Boston, MA 022416147
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- February 18, 2021
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 2085R0204X — NUCC code
- State licenses (2)
- Pennsylvania #MD426532 · New Jersey #25MA08328500
- Medicaid (2)
- NJ #0157562 · PA #1017778250003
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942380902. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,572
Distinct HCPCS
10
Medicare allowed
$104,573
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,065 | 13 | $0 | |
36902 |
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 138 | 113 | $247 | |
77001 |
Fluoroscopic guidance for insertion or removal of central vein access device | 59 | 52 | $19 | |
36581 |
Replacement of tunneled central venous tube | 41 | 35 | $182 | |
36905 |
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 41 | 35 | $453 | |
36907 |
Balloon dilation of dialysis segment with review by radiologist | 40 | 33 | $151 | |
99152 |
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 31 | 30 | $13 | |
36589 |
Removal of tunneled central venous tube | 30 | 29 | $141 | |
36906 |
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist | 27 | 27 | $529 | |
36901 |
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 26 | 26 | $162 |
In context: peer comparison
Among 25 peers in Philadelphia Vascular & Interventional Radiology Physician, average services per provider: 78. This provider delivers 20× the peer median.Open Payments
Industry payments received
All-time total
$45
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| W. L. Gore & Associates, INC. | 1 | $29.17 | |
| Bard Peripheral Vascular, INC. | 1 | $16.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
50
Patients
29
Total drug cost
$64
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 50 | 29 | $64 |
Frequently asked questions
What is Dr. Louis Domenico's medical specialty?
Dr. Louis Domenico practices Vascular & Interventional Radiology Physician in Philadelphia, PA.
Where does Dr. Louis Domenico practice?
Dr. Louis Domenico practices at 2412-14 West Passyunk Avenue, Philadelphia, PA 191454114. Office phone: 2154622100.
What is Dr. Louis Domenico's NPI?
Dr. Louis Domenico's National Provider Identifier (NPI) is 1942380902, issued by NPPES.
Does Dr. Louis Domenico accept Medicare assignment?
Yes. Dr. Louis Domenico accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Louis Domenico commonly perform?
Top Medicare-reported procedures in 2023: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS 36902); Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS 77001). Source: CMS Medicare Physician & Other Practitioners file.