DR. MICHAEL GLENN DOMINA D.O.
NPI 1396130613
Obstetrics & Gynecology in Sevierville, TN
About Dr. Michael Glenn Domina D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL GLENN DOMINA D.O. (NPI 1396130613) is an individual obstetrics & gynecology provider in Sevierville, Tennessee, licensed in Tennessee (5095) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Other Identifiers 1
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
Dr. Michael Glenn Domina D.o. 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
4Medicare enrollment records show Michael Domina reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Knoxville, TN 37916
- Reassigned Medicare billing, Tennessee enrollment
- 89 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Obhg Texas Holdings PA
- 998 clinicians in this Medicare group
Toledo, OR 97391
- Reassigned Medicare billing, Oregon enrollment
- 348 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37862 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEVIERVILLE, TN 37862
SEVIERVILLE, TN 37862
SEVIERVILLE, TN 37862
SEVIERVILLE, TN 37862
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 Michael Domina's NPI number?
The NPI number for Michael Domina is 1396130613. It was assigned to this individual provider in the NPPES registry on April 2, 2015.
Where is Michael Domina located?
Michael Domina practices at 740 Middle Creek Rd Ste 200, Sevierville, TN 37862. The listed phone number is (865) 908-9888.
What is Michael Domina's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Michael Domina enrolled in Medicare?
Yes. Michael Domina 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 Michael Domina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Domina reassigns Medicare benefits to 4 organizations: Fort Sanders Perinatal Center (Knoxville, TN), Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI), Obhg Texas Holdings, P.A. (Austin, TX) and Samaritan Pacific Health Services, Inc. (Toledo, OR). 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 Michael Domina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Domina accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and Oscar Insurance Company list Michael Domina 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.
When was this NPI record last updated?
The NPPES record for Michael Domina was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dr. Michael Glenn Domina, D.O. · NPI 1396130613
Obstetrics & Gynecology physician in Sevierville, Tennessee. Individual provider, active in the CMS NPPES registry since April 2, 2015.
## Identity
- **NPI:** 1396130613 (Entity type: Individual)
- **Enumerated:** April 2, 2015
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 5095 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 740 MIDDLE CREEK RD STE 200, Sevierville, TN 37862-5056
- **Phone:** (865) 908-9888
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Fort Sanders Perinatal Center (NPI 1003811381, Knoxville, TN); Columbia St. Mary's Hospital Milwaukee, Inc (NPI 1023064482, Milwaukee, WI); Obhg Texas Holdings, P.A. (NPI 1083917769, Austin, TX); Samaritan Pacific Health Services, Inc. (NPI 1568543692, Toledo, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 20, 2024
- **Other identifiers:** Medicaid Q083566 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1396130613) · Data from the CMS NPPES public registry.