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DR. LAWRENCE A DOMONT M.D.
NPI 1043256910
Internal Medicine - Endocrinology, Diabetes & Metabolism in Park Ridge, IL

Active since June 21, 2006PECOS Enrolled
1775 BALLARD RD, PARK RIDGE, IL 60068(847) 318-2400(847) 318-2414 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Lawrence A Domont M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE A DOMONT M.D. (NPI 1043256910) is an individual endocrinology, diabetes & metabolism provider in Park Ridge, Illinois and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043256910
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. LAWRENCE A DOMONTCredential: M.D.
Location Address1775 BALLARD RDPark Ridge, IL 60068-1005
Mailing Address1775 Ballard RdPark Ridge, IL 60068-1005 · (847) 318-2400 · Fax (847) 318-2414
Phone(847) 318-2400
Fax(847) 318-2414
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1043256910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1775 BALLARD RD, Park Ridge, IL 60068
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lawrence A Domont M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lawrence Domont reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran General Hospital
0.3 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier18 claims19 services$185.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE ALYSSA WALES MD
Family Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-6020
ASHLEY ROSE ROBINSON DO
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KEVIN LIN DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
KRUTIL PATEL
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
AYESHA LIAQUAT MD
Student in an Organized Health Care Education/Training Program
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
WILLIAM D. RHOADES D.O.
Internal Medicine (Geriatric Medicine)
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-2500
MARYANN KELLY M.D.
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340
DR. JOSIAH ESCHBACH DO
Internal Medicine
1775 BALLARD RD
PARK RIDGE, IL 60068
Cook County (847) 318-9340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Domont's NPI number?

The NPI number for Lawrence Domont is 1043256910. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Lawrence Domont located?

Lawrence Domont practices at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-2400.

What is Lawrence Domont's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Lawrence Domont enrolled in Medicare?

Yes. Lawrence Domont is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lawrence Domont's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Domont reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Domont's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lawrence Domont was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.