MARK JASON DOMINGUEZ M.D.
NPI 1043428170
Surgery in Covington, LA
About Mark Jason Dominguez M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK JASON DOMINGUEZ M.D. (NPI 1043428170) is an individual surgery provider in Covington, Louisiana, licensed in Louisiana (200251) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Beauregard Memorial Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Jason Dominguez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Mark Dominguez reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Independence, LA 70443
- Reassigned Medicare billing, Louisiana enrollment
- 104 clinicians in this Medicare group
Metairie, LA 70005
- Reassigned Medicare billing, Louisiana enrollment
- 5 clinicians in this Medicare group
Ville Platte, LA 70586
- Reassigned Medicare billing, Louisiana enrollment
- 22 clinicians in this Medicare group
Ville Platte, LA 70586
- Reassigned Medicare billing, Louisiana enrollment
- 67 clinicians in this Medicare group
Leesville, LA 71446
- Reassigned Medicare billing, Louisiana enrollment
- 29 clinicians in this Medicare group
Leesville, LA 71446
- Reassigned Medicare billing, Louisiana enrollment
- 32 clinicians in this Medicare group
Leesville, LA 71446
- Reassigned Medicare billing, Louisiana enrollment
- 57 clinicians in this Medicare group
Robeline, LA 71469
- Reassigned Medicare billing, Louisiana enrollment
- 61 clinicians in this Medicare group
Many, LA 71449
- Reassigned Medicare billing, Louisiana enrollment
- 36 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Louisiana enrollment
- 214 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beauregard Memorial Hospital
Acute Care Hospitals · Deridder, LAByrd Regional Hospital
Acute Care Hospitals · Leesville, LASabine Medical Center
Acute Care Hospitals · Many, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COVINGTON, LA 70433
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 Mark Dominguez's NPI number?
The NPI number for Mark Dominguez is 1043428170. It was assigned to this individual provider in the NPPES registry on May 21, 2007.
Where is Mark Dominguez located?
Mark Dominguez practices at 606 W 11th Ave, Covington, LA 70433. The listed phone number is (985) 892-3766.
What is Mark Dominguez's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Mark Dominguez enrolled in Medicare?
Yes. Mark Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mark Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Dominguez reassigns Medicare benefits to 10 organizations: Lallie Kemp Medical Ctr (Independence, LA), Restore Mobile Wound Care (Metairie, LA), Mercy Physician Practices LLC (Ville Platte, LA), Emergency Group Of St Landry LLC (Ville Platte, LA), Byrd Medical Clinic Inc (Leesville, LA) and 5 more organizations, listed in the Medicare section above. Each 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 Mark Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Dominguez accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Mark Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mark Dominguez affiliated with any hospitals?
According to CMS data, Mark Dominguez is affiliated with Beauregard Memorial Hospital, Byrd Regional Hospital and Sabine Medical Center.
When was this NPI record last updated?
The NPPES record for Mark Dominguez was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Mark Jason Dominguez, M.D. · NPI 1043428170
Surgery physician in Covington, Louisiana. Individual provider, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1043428170 (Entity type: Individual)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 200251 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 606 W 11TH AVE, Covington, LA 70433-3630
- **Phone:** (985) 892-3766 · **Fax:** (985) 893-9567
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Lallie Kemp Medical Ctr (NPI 1558303420, Independence, LA); Restore Mobile Wound Care (NPI 1528808268, Metairie, LA); Mercy Physician Practices LLC (NPI 1598885832, Ville Platte, LA); Emergency Group Of St Landry LLC (NPI 1164491320, Ville Platte, LA); Byrd Medical Clinic Inc (NPI 1801895495, Leesville, LA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 2004
## Record status
- **NPPES last updated:** March 16, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1043428170) · Data from the CMS NPPES public registry.