Active NPI 1861608424 Individual Practitioner Male Practitioner

Jason Roland Dominguez , PA-C

Physician Assistant • Odessa, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jason Dominguez, PA-C is a certified Physician Assistant practicing in Odessa, TX. With approximately 22 years of clinical experience since completing medical education in 2004, Jason Dominguez delivers high-quality medical care to the local community at 315 E 5TH ST.

Jason Dominguez is affiliated with Oliver Street 5.01(A) Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

315 E 5th St

Odessa, TX 797615133

Telephone 4323333433

Associated Practice Facility / Clinic

🏢 Permian Endoscopy Center Facility NPI 1679686505

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Odessa, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +12.9 yrs vs City Avg

City Avg: 9.1 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

53 Specialists

Practicing in Odessa, TX (11140 Statewide)

Telehealth Adoption Rate

7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dominguez (22 Years) 22 Yrs

Odessa Specialty Average (9.1 Years) 9.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	208	167	$288.88	$73.27
17003 Destruction of precancer skin growth, 2-14 growths	171	56	$21.89	$5.31
11102 Tangential biopsy of single skin lesion	144	134	$326.71	$72.01
17110 Destruction of up to 14 skin growths	119	105	$367.51	$89.51
17000 Destruction of skin growth	116	102	$219.08	$39.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$374.24	$90.64
11103 Biopsy of related skin growth, each additional growth	56	40	$165.34	$40.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	44	$1028.30	$244.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	37	$177.56	$45.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$562.02	$133.35
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	23	$573.93	$69.24
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$237.38	$58.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$414.49	$104.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$833.00	$98.66
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$839.75	$210.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	351	269	$215.20	$72.53
17003 Destruction of precancer skin growth, 2-14 growths	234	82	$15.64	$5.43
11102 Tangential biopsy of single skin lesion	196	182	$246.79	$72.61
17110 Destruction of up to 14 skin growths	165	133	$267.40	$91.68
17000 Destruction of skin growth	159	139	$158.63	$38.31
11103 Biopsy of related skin growth, each additional growth	106	80	$125.40	$40.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	80	$133.48	$45.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$270.83	$90.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	49	$294.17	$103.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	12	$6.33	$1.06
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$180.36	$58.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	13	$718.57	$231.69
69100 Biopsy of ear	14	13	$213.03	$44.27
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$608.71	$212.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$366.55	$136.32
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$398.19	$69.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	321	88	$13.39	$5.63
99213 Established patient office or other outpatient visit, typically 15 minutes	309	223	$187.15	$75.52
17000 Destruction of skin growth	180	129	$136.57	$39.14
11102 Tangential biopsy of single skin lesion	177	159	$217.10	$73.50
17110 Destruction of up to 14 skin growths	158	121	$235.04	$93.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	78	$269.32	$105.01
11103 Biopsy of related skin growth, each additional growth	84	51	$110.12	$42.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	58	23	$8.00	$1.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	50	$112.89	$46.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$234.03	$92.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$350.50	$137.21
69100 Biopsy of ear	21	20	$200.13	$59.46
11900 Injection into skin growth, 1-7 growths	21	16	$120.02	$38.44
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	16	15	$538.00	$222.22
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$338.86	$72.40
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$639.41	$255.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,600	12	$2.65	$1.54
17003 Destruction of precancer skin growth, 2-14 growths	364	95	$11.20	$5.47
99213 Established patient office or other outpatient visit, typically 15 minutes	229	169	$162.81	$73.83
11102 Tangential biopsy of single skin lesion	198	168	$190.09	$77.25
17000 Destruction of skin growth	178	134	$119.07	$38.24
17110 Destruction of up to 14 skin growths	138	100	$204.04	$93.44
11103 Biopsy of related skin growth, each additional growth	110	75	$95.83	$43.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	91	$100.46	$46.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	89	27	$2.96	$1.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	73	$240.83	$105.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$203.22	$92.26
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$125.84	$56.24
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	21	17	$473.41	$218.16
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	17	$322.81	$70.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$326.78	$135.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	16	$589.88	$246.29
69100 Biopsy of ear	18	15	$179.50	$58.00
11900 Injection into skin growth, 1-7 growths	18	13	$104.79	$40.91
96574 Application of light with debridement to destroy precancer skin growth	17	13	$490.40	$244.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	14	$24.64	$11.09
11104 Punch biopsy, first skin growth	15	15	$230.35	$102.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	3,200	16	$1.58	$1.47
17003 Destruction of precancer skin growth, 2-14 growths	385	85	$6.61	$5.04
99213 Established patient office or other outpatient visit, typically 15 minutes	298	203	$81.70	$62.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	240	42	$2.69	$1.38
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	198	12	$114.04	$96.11
11102 Tangential biopsy of single skin lesion	168	145	$109.52	$71.89
17000 Destruction of skin growth	168	119	$76.46	$38.26
17110 Destruction of up to 14 skin growths	161	122	$127.72	$89.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	97	$117.65	$89.82
11103 Biopsy of related skin growth, each additional growth	96	63	$60.35	$43.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	56	$48.46	$37.86
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$82.77	$62.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	31	$19.51	$11.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$119.21	$84.21
69100 Biopsy of ear	30	24	$108.88	$50.85
96574 Application of light with debridement to destroy precancer skin growth	25	20	$271.79	$223.36
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	13	$362.32	$221.98
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$180.02	$82.28
11104 Punch biopsy, first skin growth	13	13	$132.31	$105.51
11900 Injection into skin growth, 1-7 growths	13	11	$73.18	$42.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	3,800	18	$1.58	$1.41
17003 Destruction of precancer skin growth, 2-14 growths	404	87	$6.14	$4.56
99213 Established patient office or other outpatient visit, typically 15 minutes	379	219	$80.10	$60.55
17000 Destruction of skin growth	198	139	$72.18	$38.39
11102 Tangential biopsy of single skin lesion	190	167	$127.93	$71.62
17110 Destruction of up to 14 skin growths	143	102	$117.93	$88.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	138	43	$2.20	$1.58
11103 Biopsy of related skin growth, each additional growth	86	64	$70.43	$43.23
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$83.12	$62.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	34	$47.95	$36.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$116.95	$85.52
11900 Injection into skin growth, 1-7 growths	33	25	$61.57	$38.81
69100 Biopsy of ear	30	26	$109.45	$52.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$116.09	$88.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	19	$19.26	$13.62
96574 Application of light with debridement to destroy precancer skin growth	22	21	$263.58	$207.02
11104 Punch biopsy, first skin growth	18	18	$173.21	$95.49
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	18	18	$271.32	$188.04
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$188.36	$65.80
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$190.88	$88.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$345.15	$222.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	499	121	$5.61	$4.17
99213 Established patient office or other outpatient visit, typically 15 minutes	415	264	$77.11	$58.11
11100 Biopsy of single growth of skin and/or tissue	309	268	$112.30	$73.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	273	56	$2.11	$1.77
17000 Destruction of skin growth	251	174	$70.69	$37.27
11101 Biopsy of each additional growth of skin and/or tissue	208	135	$34.68	$26.13
17110 Destruction of up to 14 skin growths	174	132	$117.25	$88.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	45	$106.97	$85.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	40	$46.76	$35.09
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$77.32	$60.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	37	$21.76	$16.33
69100 Biopsy of ear	31	23	$106.68	$49.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$115.23	$86.58
11900 Injection into skin growth, 1-7 growths	24	20	$58.66	$37.46
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	23	$319.96	$225.88
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$205.77	$77.15
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$253.03	$190.47
10060 Simple or single drainage of skin abscess	11	11	$116.71	$95.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	549	128	$5.48	$4.39
11100 Biopsy of single growth of skin and/or tissue	370	320	$101.46	$70.00
99213 Established patient office or other outpatient visit, typically 15 minutes	300	247	$72.32	$59.15
11101 Biopsy of each additional growth of skin and/or tissue	247	157	$32.03	$26.24
17000 Destruction of skin growth	246	182	$67.20	$36.65
17110 Destruction of up to 14 skin growths	228	173	$108.90	$87.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	227	184	$105.03	$86.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	203	47	$1.99	$1.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$106.83	$85.64
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$73.67	$60.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	54	$42.91	$35.31
69100 Biopsy of ear	46	40	$104.84	$50.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	37	$24.94	$20.43
10060 Simple or single drainage of skin abscess	18	17	$127.81	$95.33
11900 Injection into skin growth, 1-7 growths	16	14	$53.70	$39.30
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$333.30	$208.89

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA04351

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Oliver Street 5.01(A) Inc

603 E 6th St, Odessa, TX 797614528

Phone: 4322259601

Oliver Street 5.01(A) Inc

1711 Martin Dr, Weatherford, TX 760866738

Phone: 8175945880

Oliver Street 5.01(A) Inc

1709 Martin Dr, Weatherford, TX 760866738

Phone: 8175945880

Oliver Street 5.01(A) Inc

3415 E Us Hwy 377, Granbury, TX 760497419

Phone: 6825001447

Oliver Street 5.01(A) Inc

1367 Dominion Plz, Tyler, TX 757031013

Phone: 9035346200

Oliver Street 5.01(A) Inc

1314 Paluxy Rd, Granbury, TX 760485655

Phone: 6825297800

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Ravikumar Vemuru , MD

Specialist

NPI 1205949120

Doctor of Medicine (M.D.)

Dr. Syam Vemulapalli , MD

Internal Medicine - Gastroenterology

NPI 1740397397

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 315 E 5TH ST, ODESSA, TX 797615133 (Tel: 4323333433)

📍

Updated Business Mailing Address July 08, 2007

Registered at 6213 GLENHAVEN DR, ODESSA, TX 797625022 (Tel: 4323620299)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JASON DOMINGUEZ, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA04351 in TX)

🟢

Initial NPI Registration & Enumeration May 14, 2007

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: 1861608424

Entity Type:

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

Enumeration Date: May 14, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6213 Glenhaven Dr

Odessa, TX 797625022

Phone: 4323620299

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.