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

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: August 02, 2026.

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 is a graduate of Wayne State University School Of Medicine (2009).

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
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

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

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.

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
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.
84 services71 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.
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

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.

Student in an Organized Health Care Education/Training Program
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Surgery (Surgical Critical Care)
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Clinical Medical Laboratory
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Hospitalist
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Internal Medicine
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Internal Medicine
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Anesthesiology
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Anesthesiology
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050

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 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.

Where is Jason Domina located?

Jason Domina practices at 4201 W Medical Center Dr, Mchenry, IL 60050. The listed phone number is (815) 334-5566.

What is Jason Domina's specialty?

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

Is Jason Domina enrolled in Medicare?

Yes. Jason Domina 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 Jason Domina accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, McLaren Health Plan Community and Priority Health list Jason Domina 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.

Is Jason Domina affiliated with any hospitals?

According to CMS data, Jason Domina is affiliated with Mclaren Bay Region, Mclaren Central Michigan, Mclaren Northern Michigan and Karmanos Cancer Center.

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.