Individual provider Active NPI

Adam C Domico, MD

  • Orthopaedic Hand Surgery Physician
  • Marietta, OH
National Provider Identifier
1366806481
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
35.138153 Issued in OH
Practice address
611 2ND St # C
Marietta, OH 45750-2123
Phone
(740) 373-8756
Fax
(740) 373-0091
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.138153 OH
Orthopaedic Hand Surgery Physician 207XS0106X 35.138153 OH Primary

Addresses

Primary practice location

611 2ND St # C
Marietta, OH 45750-2123

Mailing address

611 2ND St
Marietta, OH 45750-2123
Phone (740) 373-8756

Other practice location 1

122 Pinnell St Bldg 6
Ripley, WV 25271-9101
Phone (740) 373-8756

Other practice location 2

314 S Wells St Ste 100
Sistersville, WV 26175-1098
Phone (304) 447-2447

Other practice location 3

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

Other practice location 4

2434 Richmiller Ln Unit A
Belpre, OH 45714-1075
Phone (740) 373-8756

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address adam.domico@mmhs.medicity.net
Direct Messaging Address adam.domico@mmhs.medicity.net
Direct Messaging Address adam.domico@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220721001856 OH Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4385044155 Reassigns benefits to 2 organizations
I20220818002879 WV Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 4385044155 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Development Co.Group PAC ID 4183527476, shared by 9 NPIs, 65 clinicians
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

2434 Richmiller LN
Unit a
Belpre, OH 45714-1075
Phone (740) 373-8756

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)28
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co CurrentSince May 12, 2024 Accepting new patients
Marietta Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Hospital Development Co CurrentSince May 12, 2024 Accepting new patients
Hospital Development Co Current Accepting new patients
Marietta Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Sep 1, 2022 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Sep 1, 2022 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
MHC Physicians Inc CurrentSince Sep 1, 2022 Accepting new patients
Hospital Development Co Current Accepting new patients
Hospital Development Co Current Accepting new patients

Locations

2434 Richmiller Ln
Unit A
Belpre, OH 45714
Phone (740) 331-6915

304 Main St
Caldwell, OH 43724
Phone (740) 374-4273

611 2nd St
Marietta, OH 45750
Phone (304) 865-7246

611 2nd St
Ste C
Marietta, OH 45750
Phone 7403738756142

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

611 2nd St
#C
Marietta, OH 45750

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

314 S Wells St
Sistersville, WV 26175
Phone (304) 652-2399

314 S Wells St
Ste 100
Sistersville, WV 26175
Phone (304) 447-2447

305 Clay St
Sistersville, WV 26175
Phone (304) 447-2038

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

424 Highland Ave
Williamstown, WV 26187
Phone (304) 375-4656

Interoperability endpoints

  • Direct secure messaging: dr.domico@fso.gwaydirect.com
  • Direct secure messaging: adomico348465@direct.wvuhsdirect.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1366806481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502123",
            "telephone_number": "740-373-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 2ND ST # C",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502123",
            "telephone_number": "740-373-8756",
            "fax_number": "740-373-0091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Pinnell St Bldg 6",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "WV",
            "postal_code": "252719101",
            "country_code": "US",
            "telephone_number": "740-373-8756",
            "fax_number": "740-373-0091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 S Wells St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sistersville",
            "state": "WV",
            "postal_code": "261751098",
            "country_code": "US",
            "telephone_number": "304-447-2447",
            "fax_number": "304-433-8667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "WV",
            "postal_code": "252761050",
            "country_code": "US",
            "telephone_number": "304-927-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2434 Richmiller Ln Unit A",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141075",
            "country_code": "US",
            "telephone_number": "740-373-8756",
            "fax_number": "740-373-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMICO",
        "first_name": "ADAM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.138153",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35.138153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.domico@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "314 S Wells St Ste 100",
            "city": "Sistersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261751098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.domico@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "611 2nd St # C",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457502123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.domico@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "2434 Richmiller Ln Unit A",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.