Active NPI 1235119215 Individual Practitioner Male Practitioner

Dr. Daniel Domjan , MD

General Practice • Sikeston, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Domjan, MD is a certified General Practice practicing in Sikeston, MO. With approximately 54 years of clinical experience since graduating from Albert Einstein College Of Medicine Of Yeshiva University in 1972, Dr. Domjan delivers high-quality medical care to the local community at 200 SOUTHLAND DR.

Dr. Domjan is affiliated with Southeast Missouri Health Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include blood test, lipids (cholesterol and triglycerides), hemoglobin a1c level, blood glucose (sugar) level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Southland Dr

Sikeston, MO 638014403

Telephone 5734721770

Fax 5734724050

Associated Practice Facility / Clinic

🏢 Southeast Missouri Health Network Facility NPI 1104045475

Medicare Profile & Education

Medical School

Albert Einstein College Of Medicine Of Yeshiva University

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Sikeston, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs Matches City Avg

City Avg: 54.0 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Sikeston, MO (221 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Domjan (54 Years) 54 Yrs

Sikeston Specialty Average (54.0 Years) 54.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80061 Blood test, lipids (cholesterol and triglycerides)	75	55	$65.00	$13.12
83036 Hemoglobin A1C level	75	28	$30.00	$9.52
82947 Blood glucose (sugar) level	73	30	$20.00	$3.85
80053 Blood test, comprehensive group of blood chemicals	68	51	$85.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	62	55	$85.00	$16.46
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	50	44	$50.00	$6.34
84439 Thyroxine (thyroid chemical), free	17	15	$45.00	$8.84
81002 Urinalysis, manual test	12	11	$45.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82947 Blood glucose (sugar) level	147	45	$17.24	$3.85
83036 Hemoglobin A1C level	103	40	$40.29	$9.52
80053 Blood test, comprehensive group of blood chemicals	86	65	$79.30	$10.31
80061 Blood test, lipids (cholesterol and triglycerides)	85	68	$62.59	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	69	61	$79.20	$16.46
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	59	53	$46.95	$6.34
81002 Urinalysis, manual test	25	22	$36.60	$3.41
82043 Urine microalbumin (protein) level	21	21	$63.33	$5.66
84439 Thyroxine (thyroid chemical), free	18	15	$42.78	$8.84
80048 Blood test, basic group of blood chemicals (calcium, total)	16	13	$48.13	$8.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82947 Blood glucose (sugar) level	180	53	$15.00	$3.86
83036 Hemoglobin A1C level	142	50	$50.00	$9.53
80053 Blood test, comprehensive group of blood chemicals	126	95	$75.00	$10.37
80061 Blood test, lipids (cholesterol and triglycerides)	124	94	$60.00	$13.13
84443 Blood test, thyroid stimulating hormone (TSH)	109	89	$75.00	$16.46
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	93	82	$45.00	$6.40
81002 Urinalysis, manual test	47	37	$30.00	$3.44
82043 Urine microalbumin (protein) level	34	34	$60.00	$5.70
80048 Blood test, basic group of blood chemicals (calcium, total)	23	16	$45.00	$8.35
84439 Thyroxine (thyroid chemical), free	22	20	$40.00	$8.91
82306 Vitamin d-3 level	14	14	$100.00	$29.20
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	13	13	$150.00	$50.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82947 Blood glucose (sugar) level	197	65	$15.00	$3.84
83036 Hemoglobin A1C level	159	61	$50.00	$9.55
80053 Blood test, comprehensive group of blood chemicals	144	105	$75.00	$10.49
80061 Blood test, lipids (cholesterol and triglycerides)	140	109	$60.00	$13.30
84443 Blood test, thyroid stimulating hormone (TSH)	110	92	$75.00	$16.66
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	110	95	$45.00	$6.42
81002 Urinalysis, manual test	63	57	$30.00	$3.43
82043 Urine microalbumin (protein) level	50	49	$60.00	$5.57
80048 Blood test, basic group of blood chemicals (calcium, total)	26	23	$45.00	$8.46
82306 Vitamin d-3 level	26	24	$100.00	$29.60
84439 Thyroxine (thyroid chemical), free	26	23	$40.00	$9.02
96127 Assessment of emotional or behavioral problems	25	24	$10.00	$4.15
36415 Insertion of needle into vein for collection of blood sample	23	19	$25.00	$3.00
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	18	14	$150.00	$51.31
84450 Liver enzyme (sgot), level	13	13	$30.00	$5.18
84460 Liver enzyme (sgpt), level	13	13	$30.00	$5.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82947 Blood glucose (sugar) level	250	81	$15.00	$3.83
80061 Blood test, lipids (cholesterol and triglycerides)	185	149	$60.00	$13.25
83036 Hemoglobin A1C level	174	77	$50.00	$9.46
80053 Blood test, comprehensive group of blood chemicals	159	132	$75.00	$10.43
84443 Blood test, thyroid stimulating hormone (TSH)	149	138	$75.00	$16.58
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	142	131	$45.00	$6.39
80048 Blood test, basic group of blood chemicals (calcium, total)	33	31	$45.00	$8.40
82043 Urine microalbumin (protein) level	26	25	$60.00	$5.75
84460 Liver enzyme (sgpt), level	24	23	$30.00	$5.29
84450 Liver enzyme (sgot), level	24	23	$30.00	$5.17
82306 Vitamin d-3 level	22	22	$100.00	$29.55
81002 Urinalysis, manual test	19	17	$30.00	$3.47
36415 Insertion of needle into vein for collection of blood sample	19	18	$25.00	$2.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82947 Blood glucose (sugar) level	259	77	$15.00	$4.19
80053 Blood test, comprehensive group of blood chemicals	208	145	$67.43	$11.41
80061 Blood test, lipids (cholesterol and triglycerides)	190	146	$60.00	$14.45
83036 Hemoglobin A1C level	178	70	$50.00	$10.41
84443 Blood test, thyroid stimulating hormone (TSH)	148	124	$74.15	$18.19
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	124	114	$42.48	$6.99
80048 Blood test, basic group of blood chemicals (calcium, total)	47	37	$44.47	$9.21
82043 Urine microalbumin (protein) level	42	42	$56.90	$6.15
36415 Insertion of needle into vein for collection of blood sample	22	17	$25.00	$2.94
81002 Urinalysis, manual test	16	14	$30.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80053 Blood test, comprehensive group of blood chemicals	282	171	$50.00	$12.78
82947 Blood glucose (sugar) level	242	80	$15.00	$4.73
80061 Blood test, lipids (cholesterol and triglycerides)	209	154	$60.00	$16.20
83036 Hemoglobin A1C level	197	74	$50.00	$11.75
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	143	129	$33.00	$7.82
84443 Blood test, thyroid stimulating hormone (TSH)	136	115	$72.00	$20.33
36415 Insertion of needle into vein for collection of blood sample	34	24	$25.00	$2.94
80048 Blood test, basic group of blood chemicals (calcium, total)	33	28	$40.00	$10.23
82043 Urine microalbumin (protein) level	33	32	$50.00	$7.00
81002 Urinalysis, manual test	25	22	$30.00	$3.41
84550 Uric acid level, blood	15	13	$28.00	$5.47
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$22.00	$7.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80053 Blood test, comprehensive group of blood chemicals	313	182	$46.39	$11.66
80061 Blood test, lipids (cholesterol and triglycerides)	264	168	$56.55	$14.06
82947 Blood glucose (sugar) level	234	82	$14.06	$5.28
83036 Hemoglobin A1C level	171	81	$49.37	$13.05
36415 Insertion of needle into vein for collection of blood sample	164	135	$17.07	$2.94
84443 Blood test, thyroid stimulating hormone (TSH)	154	133	$68.75	$22.59
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	113	103	$29.02	$8.69
82043 Urine microalbumin (protein) level	51	49	$47.25	$7.77
80048 Blood test, basic group of blood chemicals (calcium, total)	32	28	$36.56	$10.82
81002 Urinalysis, manual test	23	19	$24.52	$2.80

Medical Specialties & State Licenses

CMS Verified: 2020-03-12

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO 118085

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Acupuncturist

NUCC Taxonomy Code: 171100000X

State License MO 118085

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

204706030 (MO)

Hospital & Practice Group Affiliations

Southeast Missouri Health Network

6724 State Hwy 77, Benton, MO 637368238

Phone: 5735454200

Southeast Missouri Health Network

6738 State Hwy 77, Benton, MO 637368238

Southeast Missouri Health Network

200 Southland Dr, Sikeston, MO 638014403

Phone: 5734721770

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Danielle Jansen , FNP

Nurse Practitioner - Family

NPI 1033551429

Family Nurse Practitioner

Heather Polk , APRN

Nurse Practitioner - Primary Care

NPI 1053973081

Advanced Practice Registered Nurse

Alexandra Tomaszewski , LCSW

Social Worker - Clinical

NPI 1447798020

Licensed Clinical Social Worker

William Bradley , FNP

Nurse Practitioner - Family

NPI 1649375940

Family Nurse Practitioner

Kay Hunter , LCSW

Counselor

NPI 1669483863

Licensed Clinical Social Worker

Samantha Duffel , LCSW

Social Worker - Clinical

NPI 1760173421

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address March 12, 2020

Registered at 6738 STATE HIGHWAY 77, BENTON, MO 637368238 (Tel: 5733132500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2019

Acupuncturist (License #118085 in MO)

✅

NPI Profile Active August 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2014

Registered at 200 SOUTHLAND DR, SIKESTON, MO 638014403 (Tel: 5734721770)

📍

Updated Business Mailing Address August 14, 2014

Registered at 420 SEMO DR, P.O. BOX 400, NEW MADRID, MO 638691734 (Tel: 5737482404)

👤

Provider Name / Credentials Updated August 14, 2014

Recorded as DANIEL DOMJAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2014

General Practice (License #118085 in MO)

🟢

Initial NPI Registration & Enumeration January 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235119215

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 18, 2006

Last Update: March 12, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6738 State Highway 77

Benton, MO 637368238

Phone: 5733132500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.