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DR. MARTIN DOMINGER DDS,MD
NPI 1689757668
Dentist - Oral and Maxillofacial Surgery in Port Jefferson Station, NY

Active since October 23, 2006PECOS Enrolled
5225 NESCONSET HWY, SUITE 57, PORT JEFFERSON STATION, NY 11776(631) 474-4600(631) 474-9056 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Martin Dominger Dds,md NPPES

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

DR. MARTIN DOMINGER DDS,MD (NPI 1689757668) is an individual oral and maxillofacial surgery provider in Port Jefferson Station, New York, licensed in New York (044538) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689757668
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARTIN DOMINGERCredential: DDS,MD
Location Address5225 NESCONSET HWY, SUITE 57Port Jefferson Station, NY 11776-2053
Mailing Address5225 Nesconset Hwy, Suite 57Port Jefferson Station, NY 11776-2053 · (631) 474-4600 · Fax (631) 474-9056
Phone(631) 474-4600
Fax(631) 474-9056
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689757668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 044538
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
5225 NESCONSET HWY, Port Jefferson Station, NY 11776
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Martin Dominger Dds,md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11776 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

MS. BERNADETTE MARIE TIMKO OTR/L
Occupational Therapist
5225 NESCONSET HWY, SUITE 30
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
MRS. YOANY TANNER OT
Occupational Therapist
5225 NESCONSET HWY, SUITE 30
PORT JEFF STA, NY 11776
Suffolk County (631) 473-4284
REINETTE MARIE CICERO OTR/L
Occupational Therapist
5225 NESCONSET HWY, SUITE 41-42
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
MRS. WAJIHA SHEIKH PT
Physical Therapist
5225 NESCONSET HWY, BUILDING 6 SUITE 30
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-2204
MS. KATHY MARIE JOHNSON OTR
Occupational Therapist
5225 NESCONSET HWY, 30
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
MRS. LORETTA D BRADY OTR L
Occupational Therapist
5225 NESCONSET HWY, SUITE 30 NEW YORK THERAPY PLACEMENT SERVICES INC
PORT JEFFERSON, NY 11776
Suffolk County (631) 473-4284
DEIDRE M POSTUPACK PT
Specialist
5225 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-4284
DR. KUMAR MADOM MD
Pediatrics
5225 NESCONSET HWY, SUITE 35
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-3232

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 Martin Dominger's NPI number?

The NPI number for Martin Dominger is 1689757668. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Martin Dominger located?

Martin Dominger practices at 5225 Nesconset Hwy Suite 57, Port Jefferson Station, NY 11776. The listed phone number is (631) 474-4600.

What is Martin Dominger's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Martin Dominger enrolled in Medicare?

Yes. Martin Dominger is registered in the Medicare PECOS enrollment system.

What insurance does Martin Dominger accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Martin Dominger 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 Martin Dominger was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.