DOMINIQUE K FONS (MD) – Family Medicine Physician, NPI 1134391881

DOMINIQUE K FONS (MD) is a healthcare provider. based in Urbana, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036127508 (IL). The NPI Number for DOMINIQUE K FONS (MD) is 1134391881

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DOMINIQUE K FONS (MD)
NPI
1134391881
Phone
(217) 383-3170
Address
611 W PARK ST
Enumeration Date
1 April 2008
Last Update Date
23 September 2014

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3096724908
Graduation Year
2008 (18 years ago)
PAC ID
7810168614
Group Practice PAC ID
1355259714
Professional Enrollment ID
I20110928000419
Address ID
IL616021076PE815XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for DOMINIQUE K FONS (MD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    URBANA, IL 618012500

    Phone: (217) 383-3170

    Fax: (217) 383-7650

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Organon LLC ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$29
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110928000419IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4841$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3323$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2919$0
99238Hospital discharge day management, 30 minutes or less2019$0
99213Established patient office or other outpatient visit, 20-29 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355259714View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to DOMINIQUE K FONS (MD)?
The federal identifier for DOMINIQUE K FONS (MD) is NPI 1134391881.
Does this profile mean DOMINIQUE K FONS (MD) is currently active?
Yes — DOMINIQUE K FONS (MD) appears active in the national provider directory.
What kind of provider is DOMINIQUE K FONS (MD)?
The page reflects Family Medicine Physician for DOMINIQUE K FONS (MD). Clinical services aligned with this taxonomy classification.
Where is DOMINIQUE K FONS (MD)'s primary listing?
We display Urbana, Illinois because that is what the record indicates for DOMINIQUE K FONS (MD).
How can I contact DOMINIQUE K FONS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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