DR. DANIEL DOMJAN (MD) – General Practice Physician, NPI 1235119215
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
145 VASCULAR SURGERY in MO
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Provider Addresses for DR. DANIEL DOMJAN (MD)
6738, State Highway 77, Lambert, Scott County, Missouri, 63736, United States
BENTON, MO 637368238
Phone: (573) 313-2500
Fax: (573) 313-2505
Type: Mailing
Southland Drive, Sikeston, New Madrid County, Missouri, 63801, United States
SIKESTON, MO 638014403
Phone: (573) 472-1770
Fax: (573) 472-4050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,337.
Total Amount is formed as General ($1,337) + Research ($0) + Ownership ($0) = $1,337.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Lilly USA, LLC ($282).
Total Amount
$1,337
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,337
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $282 |
| Amgen Inc. | $153 |
| AstraZeneca Pharmaceuticals LP | $129 |
| Bayer Healthcare Pharmaceuticals Inc. | $120 |
| Astellas Pharma US Inc | $83 |
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: 2007-07-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070730000112 | I | Family Practice | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 82947 | Blood glucose (sugar) level | 147 | 45 | $0 |
| 83036 | Hemoglobin a1c level | 103 | 40 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 86 | 65 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 85 | 68 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 69 | 61 | $0 |
Insurance plans in this area (ZIP 63736)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | AR | |
| Mental Health Counselor | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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