MIKHAIL V DOMNINE PA
NPI 1659453454
Physician Assistant in Germantown, MD

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
80.15/100
CMS Quality Rating
12850 MIDDLEBROOK RD STE 410, GERMANTOWN, MD 20874(301) 652-8847 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mikhail V Domnine Pa NPPES

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

MIKHAIL V DOMNINE PA (NPI 1659453454) is an individual physician assistant in Germantown, Maryland, licensed in Maryland (C0009827) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1659453454
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMIKHAIL V DOMNINECredential: PA
Location Address12850 MIDDLEBROOK RD STE 410Germantown, MD 20874-5281
Mailing Address12850 Middlebrook Rd Ste 410Germantown, MD 20874-5281 · (301) 652-8847
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1659453454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MD · C0009827 Licensed in PA · MA052604 Licensed in NC · 001001114
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12850 MIDDLEBROOK RD STE 410, Germantown, MD 20874

Other Identifiers 3

Other2687NC · Evolutions Healthcare Systems
Other164XJNC · Bcbsnc
Other7790899NC · Aetna

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

Mikhail V Domnine Pa 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 ID8325936594
PECOS Enrollment IDI20250604000501
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 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.

Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
263 services224 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
260 services223 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20874 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

80.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.91
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Audiologist
12850 MIDDLEBROOK RD STE 410
GERMANTOWN, MD 20874
Otolaryngology
12850 MIDDLEBROOK RD STE 410
GERMANTOWN, MD 20874

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 Mikhail Domnine's NPI number?

The NPI number for Mikhail Domnine is 1659453454. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Mikhail Domnine located?

Mikhail Domnine practices at 12850 Middlebrook Rd Ste 410, Germantown, MD 20874. The listed phone number is (301) 652-8847.

What is Mikhail Domnine's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mikhail Domnine enrolled in Medicare?

Yes. Mikhail Domnine 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 Mikhail Domnine accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mikhail Domnine 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 Mikhail Domnine was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.