Kathy L. Domiano, FNP
NPI 1265627970ActiveIndividual· Nurse Practitioner, Primary Care· Ava, MO
Nurse Practitioner, Primary Care (FNP) with Douglas County Public Health Services Group, Inc., practicing in Ava, Missouri. Their prescriptions cost Medicare Part D more than their services did: $519,952 for 6,675 claims, against $1,297 paid for services in 2024. Novo Nordisk Inc was the largest of 8 companies reporting payments in 2025, $378.31 in all, mostly food and beverage. Lists Cox Medical Centers as a hospital affiliation.
Overview
| NPI | 1265627970 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Sep 6, 2007 |
| Last updated in NPPES | Mar 6, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 154500 | MO |
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 - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 88 across 25 procedure codes |
| Paid by Medicare | $1,297 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,675 · 11,843 30-day fills |
|---|---|
| Patients | 338 |
| Total drug cost | $519,952 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Douglas County Public Health Services Group, Inc.Mansfield, MO · 24 clinicians
Hospital affiliation
- Cox Medical CentersSpringfield, MO
Industry payments (Open Payments)
- 2025$378.31 · 17 payments from 8 companies
- 2024$349.06 · 25 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $169.02 | 6 |
| Merck Sharp & Dohme LLC | $48.97 | 3 |
| Abbvie Inc. | $41.66 | 2 |
| Astrazeneca Pharmaceuticals LP | $34.33 | 2 |
| Astellas Pharma US Inc | $25.09 | 1 |
What the 2025 payments were for
- Food and Beverage$378.31 · 17 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other primary care nurse practitioners in Ava
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- 1407445141