Doctor profile · Federal record
Dr. Dominique Bultsma, MD
Internal Medicine Physician (CMS: Internal Medicine) · Internal Medicine Physician · Johns Island, SC
- NPI 1033733704
- Accepts Medicare
- MIPS 69.0 / 100 · 2023
- 6 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
345 Freshfields Dr Ste J101
Johns Island, SC 294555443
(843) 768-4800
fax (843) 606-8039 - Mailing address
-
Po Box 751649
Charlotte, NC 282751649
Credentials & registration
- NPI registered
- May 2020 — 6 yrs on file
- Profile last updated
- February 23, 2026
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State licenses (2)
- South Carolina #90584 · South Carolina #LL84222
- Medicaid
- SC #905846
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1033733704. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
247
Distinct HCPCS
5
Medicare allowed
$23,599
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 100 | 56 | $75 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 85 | 47 | $113 | |
99239 |
Hospital discharge day management, more than 30 minutes | 28 | 28 | $108 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $123 | |
99238 |
Hospital discharge day management, 30 minutes or less | 16 | 16 | $76 |
In context: peer comparison
Among 2 peers in Johns Island Internal Medicine Physician, average services per provider: 88. This provider delivers 2.8× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
214
Patients
38
Total drug cost
$12,253
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 37 | 21 | $275 |
| Atorvastatin Calcium | Generic | 33 | 17 | $575 |
| Losartan Potassium | Generic | 24 | 0 | $165 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 16 | 0 | $475 |
| Metformin Hcl | Generic | 16 | 0 | $127 |
| Jardiance (Empagliflozin) | Brand | 15 | 0 | $9,698 |
| Carvedilol | Generic | 13 | 0 | $126 |
| Famotidine | Generic | 13 | 0 | $212 |
| Furosemide | Generic | 13 | 0 | $147 |
| Lisinopril | Generic | 12 | 0 | $223 |
Hospital affiliations
Frequently asked questions
What is Dr. Dominique Bultsma's medical specialty?
Dr. Dominique Bultsma practices Internal Medicine Physician in Johns Island, SC.
Where does Dr. Dominique Bultsma practice?
Dr. Dominique Bultsma practices at 345 Freshfields Dr Ste J101, Johns Island, SC 294555443. Office phone: 8437684800.
What is Dr. Dominique Bultsma's NPI?
Dr. Dominique Bultsma's National Provider Identifier (NPI) is 1033733704, issued by NPPES.
Does Dr. Dominique Bultsma accept Medicare assignment?
Yes. Dr. Dominique Bultsma accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dominique Bultsma commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99239). Source: CMS Medicare Physician & Other Practitioners file.