MARY K DOMINSKI MD
NPI 1407895428
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Madison, WI

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
700 S PARK ST, MADISON, WI 53715(608) 260-2900(608) 260-3442 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2020, Nov 15, 2019, Apr 23, 2018 (3 updates tracked since 2018).

About Mary K Dominski Md NPPES

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

MARY K DOMINSKI MD (NPI 1407895428) is an individual neurology with special qualifications in child neurology provider in Madison, Wisconsin, licensed in Wisconsin (26119-20) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1978).

NPPES Registry Identity

NPI1407895428
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameMARY K DOMINSKICredential: MD
Location Address700 S PARK STMadison, WI 53715-1830
Mailing Address700 S Park StMadison, WI 53715-1830 · (608) 260-2900 · Fax (608) 260-3442
Fax(608) 260-3442
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1978
Enumeration DateJune 5, 2006
Last NPPES UpdateNovember 10, 20203 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
NPI 1407895428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License Licensed in WI · 26119-20
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
700 S PARK ST, Madison, WI 53715

Other Identifiers 1

Medicaid1407895428WI

Accepted 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

Mary K Dominski 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 ID5698781995
PECOS Enrollment IDI20060223000481
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%21 patients1/55-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.

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.

Physician Assistant
700 S PARK ST
MADISON, WI 53715
Physician Assistant (Surgical)
700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Physician Assistant
700 S PARK ST, DEAN MEDICAL CENTER
MADISON, WI 53715
Anesthesiology
700 S PARK ST
MADISON, WI 53715
Internal Medicine (Cardiovascular Disease)
700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715
Physician Assistant
700 S PARK ST
MADISON, WI 53715
Nurse Practitioner
700 S PARK ST
MADISON, WI 53715
Nurse Anesthetist, Certified Registered
700 S PARK ST
MADISON, WI 53715

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 Mary Dominski's NPI number?

The NPI number for Mary Dominski is 1407895428. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Mary Dominski located?

Mary Dominski practices at 700 S Park St, Madison, WI 53715. The listed phone number is (608) 260-2900.

What is Mary Dominski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Mary Dominski enrolled in Medicare?

Yes. Mary Dominski 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.

What insurance does Mary Dominski accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Dominski 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 Mary Dominski was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.