Nicole A. Domenech, MD.
NPI 1518336825ActiveIndividual· General Practice· Winter Haven, FL
General Practice (MD.) with Health Holdings Company LLC, practicing in Winter Haven, Florida. Their prescriptions cost Medicare Part D more than their services did: $1,087,009 for 12,326 claims, against $10,828 paid for services in 2024. Bayer Healthcare Pharmaceuticals Inc. was the largest of 4 companies reporting payments in 2025, $73.53 in all, mostly food and beverage. Lists Adventhealth Sebring as a hospital affiliation.
Overview
| NPI | 1518336825 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD. |
| Sole proprietor | Yes |
| NPI issued | Sep 16, 2015 |
| Last updated in NPPES | Jun 22, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 19178 | PR |
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 - General Practice (FL); Practitioner - General Practice (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 248 across 18 procedure codes |
| Paid by Medicare | $10,828 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,326 · 31,095 30-day fills |
|---|---|
| Patients | 795 |
| Total drug cost | $1,087,009 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | General Practice |
| Telehealth | Offers telehealth |
Medical group
- Health Holdings Company LLCOrlando, FL · 63 clinicians
Hospital affiliation
- Adventhealth SebringSebring, FL
Other facilities
- Vitas Healthcare Corporation of FloridaHospice · Melbourne, FL
Industry payments (Open Payments)
- 2025$73.53 · 4 payments from 4 companies
- 2024$57.43 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $23.94 | 1 |
| Exact Sciences Corporation | $17.73 | 1 |
| Amgen Inc. | $16.42 | 1 |
| Astrazeneca Pharmaceuticals LP | $15.44 | 1 |
What the 2025 payments were for
- Food and Beverage$73.53 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 general practitioners in Winter Haven · All general practitioners in Florida