Tim D. Dominick, PA-C
NPI 1033536354ActiveIndividual· Physician Assistant· North Chesterfield, VA
Physician Assistant (PA-C) in North Chesterfield, Virginia, trained at Eastern Virginia Medical School (class of 2019). 481 Medicare patients in 2024, $86,697 paid; nearly all of their 438 Part D prescriptions were generic (97%). Fortis Surgical, LLC reported $17.19 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1033536354 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Mar 25, 2014 |
| Last updated in NPPES | Jun 8, 2020 |
| Certified by provider | Jun 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0110-006707 | VA |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 2085 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 481 |
|---|---|
| Services billed | 2,472 across 68 procedure codes |
| Paid by Medicare | $86,697 |
Part D prescriptions in 2024
| Prescriptions (claims) | 438 · 467 30-day fills |
|---|---|
| Patients | 225 |
| Total drug cost | $7,423 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Eastern Virginia Medical School |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Physician Assistant |
Medical groups
- Orthovirginia IncArlington, VA · 567 clinicians
- Professional Therapies of Roanoke, Inc.Midlothian, VA · 266 clinicians
Hospital affiliations
- Bon Secours St Francis Medical CenterMidlothian, VA
- Cjw Medical CenterRichmond, VA
Industry payments (Open Payments)
- 2024$17.19 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Fortis Surgical, LLC | $17.19 | 1 |
What the 2024 payments were for
- Food and Beverage$17.19 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 55 physician assistants in North Chesterfield · All physician assistants in Virginia