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Jason Roland Dominguez, PA-C

NPI 1861608424ActiveIndividual· Physician Assistant· Odessa, TX

Physician Assistant (PA-C) with Oliver Street 5.01(A) Inc, practicing in Odessa, Texas. Their prescriptions cost Medicare Part D more than their services did: $411,056 for 766 claims, against $60,545 paid for services in 2024. Ucb, Inc. was the largest of 20 companies reporting payments in 2025, $1,682 in all, mostly food and beverage.

Overview

NPI1861608424
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedMay 14, 2007
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA04351TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients402
Services billed1,661 across 48 procedure codes
Paid by Medicare$60,545

Part D prescriptions in 2024

Prescriptions (claims)766 · 842 30-day fills
Patients356
Total drug cost$411,056
Generic share89% of claims

Medicare sources and data years

Education and affiliations

Graduation year2004
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,682 · 71 payments from 20 companies
  • 2024$2,459 · 114 payments from 22 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$1,483 · 67 payments
  • Education$199.33 · 4 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Odessa

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