DR. DANIEL DOMJAN MD
NPI 1235119215
General Practice in Sikeston, MO

Q: What is Daniel Domjan's NPI number?

The NPI number for Daniel Domjan is 1235119215. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Daniel Domjan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Domjan was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment

200 SOUTHLAND DR, SIKESTON, MO 63801(573) 472-1770(573) 472-4050 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2020, Aug 20, 2019 (2 updates tracked since 2019).

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About Dr. Daniel Domjan Md NPPES

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

DR. DANIEL DOMJAN MD (NPI 1235119215) is an individual general practice provider in Sikeston, Missouri, licensed in Missouri (118085) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1972).

NPPES Registry Identity

NPI1235119215

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. DANIEL DOMJANCredential: MD

Location Address200 SOUTHLAND DRSikeston, MO 63801-4403

Mailing Address6738 State Highway 77Benton, MO 63736-8238 · (573) 313-2500 · Fax (573) 313-2505

Phone(573) 472-1770

Fax(573) 472-4050

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1972

Enumeration DateJanuary 18, 2006

Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration

NPPES CertifiedMarch 12, 2020

✔ NPI 1235119215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MO · 118085

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedAcupuncturistTaxonomy 171100000X · License 118085 (MO)

200 SOUTHLAND DR, Sikeston, MO 63801

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Other Identifiers 1

Medicaid204706030MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Domjan Md 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.

PECOS PAC ID8022907740

PECOS Enrollment IDI20060505000039, I20070730000112

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.

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.

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

75 services55 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

75 services28 patients

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

73 services30 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

68 services51 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

62 services55 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

50 services44 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260110

Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County

Emergency services Birthing friendly

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260113

Location1008 North Main StSikeston, MO 63801 · Scott County

Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260183

Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County

Emergency services Birthing friendly

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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%22 patients

Breast Cancer Screening

81%188 patients4/55-star benchmark: 93%

Cervical Cancer Screening

64%114 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

67%202 patients4/55-star benchmark: 87%

Colorectal Cancer Screening

76%403 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

78%394 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

65%188 patients3/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

8%188 patients5/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%2,051 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

97%294 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

80%629 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

93%348 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

38%653 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 581 patients

Patients screened: 100% · 581 patients

99%198 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86%260 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 304 patients

Patients totalRate: 12% · 314 patients

11%314 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers45 claims117 services$5.92 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers18 claims31 services$1.02 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers18 claims64 services$3.22 avg. paid by Medicare

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims330 services$5.51 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims5,808 services$0.37 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier21 claims21 services$19.22 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 6

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

DANIELLE E JANSEN FNP

Nurse Practitioner (Family)