DR. MARIE A DOMINGUEZ M.D.
NPI 1952312886
Hospitalist in West Bend, WI

Q: What is Marie Dominguez's NPI number?

The NPI number for Marie Dominguez is 1952312886. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Marie Dominguez's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Marie Dominguez was last updated on April 2, 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 August 09, 2006PECOS EnrolledAccepts Medicare Assignment

1100 GATEWAY CT, WEST BEND, WI 53095(262) 335-8600 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 2, 2020, Feb 13, 2018 (2 updates tracked since 2018).

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About Dr. Marie A Dominguez M.d. NPPES

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

DR. MARIE A DOMINGUEZ M.D. (NPI 1952312886) is an individual hospitalist provider in West Bend, Wisconsin, licensed in Wisconsin (68577) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Frances Mahon Deaconess Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1992).

NPPES Registry Identity

NPI1952312886

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. MARIE A DOMINGUEZCredential: M.D.

Location Address1100 GATEWAY CTWest Bend, WI 53095-8539

Mailing Address1100 Gateway CtWest Bend, WI 53095-8539 · (262) 335-8600

Phone(262) 335-8600

Sole ProprietorYes

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1992

Enumeration DateAugust 9, 2006

Last NPPES UpdateApril 2, 20202 updates tracked since enumeration

NPPES CertifiedApril 2, 2020

✔ NPI 1952312886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 68577

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 68577 (WI)

1100 GATEWAY CT, West Bend, WI 53095

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Other Identifiers 1

Medicaid100074618WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.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. Marie A Dominguez M.d. 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 ID5193085256

PECOS Enrollment IDI20210630002437

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.

Medicare Billing Reassignments

Medicare enrollment records show Marie Dominguez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Monroe Clinic, Inc.

91 mi

Specialist

515 22ND AVE
Monroe, WI 53566

Reassigned Medicare billing, Wisconsin enrollment
376 clinicians in this Medicare group

NPI 1386720548 (608) 324-2770

Frances Mahon Deaconess Hospital

948 mi

Diagnostic Radiology

621 3RD ST S
Glasgow, MT 59230

Reassigned Medicare billing, Montana enrollment
Also billed through NPI 1689685323 (Montana)
33 clinicians in this Medicare group

NPI 1013021500 (406) 228-3500

St. Peter's Health

1,159 mi

Family Medicine

515 SOUTH FRONT ST
Townsend, MT 59644

Reassigned Medicare billing, Montana enrollment
Medicare enrollment name: St Peters Health
304 clinicians in this Medicare group

NPI 1174165682 (406) 457-4180

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

54 services28 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

45 services25 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

27 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Frances Mahon Deaconess Hospital

Critical Access Hospitals · Glasgow, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271316

Location621 3rd St SGlasgow, MT 59230 · Valley County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53095 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$113.72 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 20

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

TAMMY L SCHLADWEILER APNP

Nurse Practitioner