JEREMY DAVIS DOMINGUEZ (PA-C) – Physician Assistant, NPI 1841508462
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for JEREMY DAVIS DOMINGUEZ (PA-C)
5219 CITY BANK PKWY STE 35
LUBBOCK, TX 794073545
Phone: (806) 761-0333
Fax: (806) 782-0097
Type: Mailing
602 INDIANA AVE
LUBBOCK, TX 794153364
Phone: (806) 761-0566
Fax: (806) 744-7252
Type: Location
4705 BRIARWOOD AVENUE
MIDLAND, TX 797072639
Phone: (432) 505-4145
Fax: (833) 941-0864
Type: Mailing
3490 East Yukon Rd
Odessa, TX 797622010
Phone: (432) 520-4086
Fax: (833) 972-5449
Type: Location
5514 N Big Spring Street
Midland, TX 797052697
Phone: (432) 316-2441
Fax: (833) 428-1421
Type: Location
616 N Main Street
Andrews, TX 797145207
Phone: (432) 505-4146
Fax: (833) 450-0805
Type: Location
6950 Eastridge Road
Odessa, TX 797658971
Phone: (432) 505-4145
Fax: (833) 941-0862
Type: Location
6301 Andrews Hwy
Midland, TX 797063147
Phone: (432) 505-4147
Fax: (833) 449-4803
Type: Location
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 $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: PFIZER INC. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $16 |
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: 2011-03-23
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 |
|---|---|---|---|---|
| I20110323000162 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 33 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 26 | 25 | $0 |
| 71046 | X-ray of chest, 2 views | 13 | 13 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 12 | 11 | $0 |
Insurance plans in this area (ZIP 79407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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