JASON ROLAND DOMINGUEZ (PA-C) – Physician Assistant, NPI 1861608424
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for JASON ROLAND DOMINGUEZ (PA-C)
315, East 5th Street, Mary Flanagan, Odessa, Ector County, Texas, 79761, United States
ODESSA, TX 797615133
Phone: (432) 333-3433
Type: Location
6213, Glenhaven Drive, Devonian Estates, Headlee Oil Field, Odessa, Ector County, Texas, 79762, United States
ODESSA, TX 797625022
Phone: (432) 362-0299
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 356 Open Payments records for all available years, with a total value of $7,219.
Total Amount is formed as General ($7,219) + Research ($0) + Ownership ($0) = $7,219.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($1,134).
Total Amount
$7,219
General + Research + Ownership
Payments
356
Total payment records
General Amount
$7,219
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,134 |
| Sun Pharmaceutical Industries Inc. | $412 |
| E.R. Squibb & Sons, L.L.C. | $368 |
| Lilly USA, LLC | $334 |
| Amgen Inc. | $334 |
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: 2005-03-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050328000956 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 351 | 269 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 234 | 82 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 196 | 182 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 165 | 133 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 159 | 139 | $0 |
Insurance plans in this area (ZIP 79761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | KY | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
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