TIMOTHY S DOMINICK MD
NPI 1043283013
Anesthesiology in Burlington, VT

NPI Status: Active since February 09, 2006

Contact Information

111 COLCHESTER AVE
WP2, 122WP2
BURLINGTON, VT
ZIP 05401
Phone: (802) 847-2415

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  • Individual
  • Male
  • Years of Experience 25
  • Anesthesiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TIMOTHY DOMINICK

This page provides the complete NPI Profile along with additional information for Timothy Dominick, an anesthesiologist established in Burlington, Vermont with a medical specialization in Anesthesiology and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1043283013 assigned on February 2006. The practitioner's primary taxonomy code is 207L00000X with license number 042-0011085 (VT). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1043283013
Provider Name
TIMOTHY S DOMINICK MD
Gender
Male
Entity Type
Individual
Location Address
111 COLCHESTER AVE WP2, 122WP2 BURLINGTON, VT 05401
Location Phone
(802) 847-2415
Mailing Address
111 COLCHESTER AVE WP2, 122WP2 BURLINGTON, VT 05401
Mailing Phone
(802) 847-2415
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
02-09-2006
Last Update Date
01-12-2015
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An anesthesiologist like Timothy Dominick manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
042-0011085
License State
VT
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
I41541MEDICARE UPIN (02) 
1043283013OTHER (01)NPI
1012295MEDICAID (05)VT 

Medicare Participation & PECOS Enrollment Status

Timothy Dominick is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Timothy Dominick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9638104425

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060306000161

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for exam of colon using an endoscope

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

This service was performed 55 times for 55 patients

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 40 times for 36 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 21 times for 20 patients

Anesthesia for other procedure on eye

Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.

This service was performed 11 times for 11 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 17 times for 17 patients

Anesthesia for procedure on eyelid

Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.

This service was performed 39 times for 39 patients

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand

Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.

This service was performed 15 times for 15 patients

Anesthesia for retinal surgery

Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).

This service was performed 11 times for 11 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Timothy Dominick is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-0000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043283013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208348602
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 8 + 6 + 0 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1043283013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295733087 CURTIS GREEN MD
Individual
Radiology (Diagnostic Radiology)111 COLCHESTER AVE PATRICK 109 MCHV
BURLINGTON, VT 05401
(802) 847-3592
1457351835DR. FRIEDERIKE KYRA KEATING MD
Individual
Internal Medicine111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-3734
1326034992DR. SCOTT D PERRAPATO D.O.
Individual
Urology111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE PAVILION LEVEL 5
BURLINGTON, VT 05401
(802) 847-2884
1861482366 KELLY MCGOVERN LU NP
Individual
Nurse Practitioner111 COLCHESTER AVE VERMONT CHILDREN'S HOSPITAL
BURLINGTON, VT 05401
(802) 847-6081
1003891136DR. LYDIA S GRONDIN MD
Individual
Anesthesiology111 COLCHESTER AVE DEPT OF ANESTHESIA WP2
BURLINGTON, VT 05401
(802) 847-2415
1649258468DR. TIFFINI JAYE LAKE MD
Individual
Anesthesiology111 COLCHESTER AVE DEPT OF ANESTHESIOLOGY
BURLINGTON, VT 05401
(802) 847-2415
1972583706 ARTHUR MARK WARWICK MD
Individual
Psychiatry & Neurology (Psychiatry)111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
(802) 847-0552
1144200940DR. JEFFREY B SCHNOOR PHARM.D.
Individual
Pharmacist111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-0058
1083684120 MICHAEL JOHN OBERDING MD
Individual
Anesthesiology111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-2415
1528030038MRS. MICHELLE KATHLEEN KEARNEY PA C
Individual
Physician Assistant111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE NEUROSURGERY
BURLINGTON, VT 05401
(802) 847-4590
1093788317 ELLEN GLORIA EVANS
Individual
Dietitian, Registered111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
(802) 847-1400
1174599278 MONIKA MODLINSKI M.D.
Individual
Anesthesiology111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-2415
1962479683MRS. ANNE ELIZABETH KLEIN PA-C
Individual
Physician Assistant111 COLCHESTER AVE DERMATOLOGY OUTPATIENT CLINIC, 5TH FLOOR
BURLINGTON, VT 05401
(802) 847-4570
1780652511 KATE ALANNA HODGE CRNA
Individual
Nurse Anesthetist, Certified Registered111 COLCHESTER AVE FAHC ANESTHESIA
BURLINGTON, VT 05401
(802) 847-2434
1306814140MRS. JANICE MARIE GROSCHEN CRNA
Individual
Nurse Anesthetist, Certified Registered111 COLCHESTER AVE FAHC-DEPARTMENT OF ANESTHESIOLOGY
BURLINGTON, VT 05401
(802) 847-2415
1154382042DR. REBECCA OWEN RUID PHD
Individual
Psychologist (Clinical)111 COLCHESTER AVE FAHC PSYCHOLOGY SERVICES
BURLINGTON, VT 05401
(802) 847-7967
1881655496DR. BRIAN YOUNG KIM MD
Individual
Ophthalmology111 COLCHESTER AVE 358WP5 OPHTHALMOLOGY
BURLINGTON, VT 05401
(802) 847-2251
1861455511MR. STEPHEN LYNN GROSCHEN CRNA
Individual
Nurse Anesthetist, Certified Registered111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-2415
1346208907 ERIC KUMAR GANGULY MD
Individual
Internal Medicine (Gastroenterology)111 COLCHESTER AVE 5TH FLOOR WEST PAVILION
BURLINGTON, VT 05401
(802) 847-8865
1154379063DR. ROBERT MICHAEL LOBEL MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)111 COLCHESTER AVE MCCLURE 1 BUILDING, FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
(802) 847-3734

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043283013, enumerated in the NPI registry as an "individual" on February 09, 2006

The provider is located at 111 Colchester Ave Wp2, 122wp2 Burlington, Vt 05401 and the phone number is (802) 847-2415

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 25 years of experience.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Anesthesia for exam of colon using an endoscope, Anesthesia for lens surgery, Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope, Anesthesia for other procedure on eye, Anesthesia for other procedure on large bowel using an endoscope, Anesthesia for procedure on eyelid, Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand and Anesthesia for retinal surgery.

The practitioner is affiliated to the following hospital(s): UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on February 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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