Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Domenic Michael Canonico, MD

Individual provider Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1770551640

Domenic Michael Canonico, MD practises Otolaryngology in Tullahoma, Tennessee. Graduated from Vanderbilt University School of Medicine in 1987, 39 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
39
Trained at
Vanderbilt University School of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

507 NW Atlantic St
Tullahoma, TN 37388-3504 Not confirmed with CMS for 11 years — call before visiting
Phone: (931) 393-4332
Fax: (931) 393-2304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence 18819 (TN)

Record details

NPI number1770551640
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESJuly 14, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Removal of tissue 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients349
Services billed 958 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Vanderbilt Tullahoma-Harton Hospital Hospital · Tullahoma, TN

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