DR. JASON GLENN DOMINA M.D.
NPI 1952530974
Radiology - Diagnostic Radiology in Mchenry, IL

Q: What is Jason Domina's NPI number?

The NPI number for Jason Domina is 1952530974. It was assigned to this individual provider in the NPPES registry on July 12, 2009.

Q: What is Jason Domina's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jason Domina was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 12, 2009PECOS EnrolledAccepts Medicare Assignment

4201 W MEDICAL CENTER DR, MCHENRY, IL 60050(815) 334-5566(815) 759-4008 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jason Glenn Domina M.d. NPPES

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

DR. JASON GLENN DOMINA M.D. (NPI 1952530974) is an individual diagnostic radiology provider in Mchenry, Illinois, licensed in Illinois (036159775) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1952530974

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. JASON GLENN DOMINACredential: M.D.

Location Address4201 W MEDICAL CENTER DRMchenry, IL 60050-8409

Mailing Address4201 W Medical Center DrMchenry, IL 60050-8409 · (815) 334-5566 · Fax (815) 759-4008

Phone(815) 334-5566

Fax(815) 759-4008

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2009

Enumeration DateJuly 12, 2009

Last NPPES UpdateNovember 9, 2023

NPPES CertifiedNovember 9, 2023

✔ NPI 1952530974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in IL · 036159775✔ Licensed in MI · 4301094862

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4201 W MEDICAL CENTER DR, Mchenry, IL 60050

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Secondary Practice Location 1

Location 11500 E Medical Center Dr, B1 floor University Hospital Recp CAnn Arbor, MI 48109-5030 · Phone (734) 936-4566

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and more.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. Jason Glenn Domina 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 ID5395961981

PECOS Enrollment IDI20140716001430, I20230602001827

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 Jason Domina reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sheridan Community Hospital

145 mi

Foot and Ankle Surgery

1525 E BELTLINE AVE NE
Grand Rapids, MI 49525

Reassigned Medicare billing, Michigan enrollment
85 clinicians in this Medicare group

NPI 1285588442 (989) 291-6304

Mclaren Medical Group

233 mi

Obstetrics & Gynecology

2521 N ELMS RD
Flushing, MI 48433

Reassigned Medicare billing, Michigan enrollment
416 clinicians in this Medicare group

NPI 1053458091 (810) 487-3640

Garden City Radiology PLLC

255 mi

Diagnostic Radiology

6245 INKSTER RD
Garden City, MI 48135

Reassigned Medicare billing, Michigan enrollment
5 clinicians in this Medicare group

NPI 1336612084 (734) 458-3485

Barbara Ann Karmanos Cancer Institute

268 mi

Radiology, Mammography

4100 JOHN R ROAD
Detroit, MI 48201

Reassigned Medicare billing, Michigan enrollment
128 clinicians in this Medicare group

NPI 1225022288 (800) 527-6266

Baptist Health Medical Group Inc

337 mi

Internal Medicine

1001 LEAWOOD DR
Frankfort, KY 40601

Reassigned Medicare billing, Kentucky enrollment
999 clinicians in this Medicare group

NPI 1629740774 (502) 223-0231

Appalachian Mountains Medical, LLC

490 mi

Emergency Medicine

454 MCDOWELL ST
Welch, WV 24801

Reassigned Medicare billing, West Virginia enrollment
77 clinicians in this Medicare group

NPI 1881023117 (304) 436-8685

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 20

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.

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

135 services119 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

108 services97 patients

Ct scan of chest with contrast 71260

84 services71 patients

Ct scan of abdomen and pelvis with contrast 74177

64 services57 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

50 services50 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

48 services47 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

30 services28 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

23 services23 patients

Ct scan of chest without contrast 71250

20 services20 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

16 services16 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

16 services16 patients

Mri scan of abdomen before and after contrast 74183

16 services14 patients

Biopsy and aspiration of bone marrow sample for diagnosis 38222

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

15 services13 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

14 services14 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

14 services14 patients

Ct scan of abdomen with contrast 74160

A CT scan of the abdomen with contrast is a diagnostic procedure. A special dye (contrast) is introduced into your body to highlight certain areas in the images. The CT scanner uses X-rays to create detailed pictures of your abdomen, helping doctors diagnose conditions or monitor treatment.

13 services12 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

13 services12 patients

Ct scan of abdomen and pelvis before and after contrast 74178

13 services13 patients

Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin 32408

A core needle biopsy of the lung or mediastinum is a procedure where a small sample of tissue is collected using a needle inserted through the skin. This helps in diagnosing lung conditions or diseases in the chest's central cavity. It's a safe and minimally invasive process.

12 services12 patients

Mri scan of pelvis before and after contrast 72197

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230041

Location1900 Columbus AveBay City, MI 48708 · Bay County

Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230080

Location1221 South DriveMount Pleasant, MI 48858 · Isabella County

Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number230297

Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

AIGIN HEYDARI MD

Student in an Organized Health Care Education/Training Program