Active NPI
Jose M Dominguez, MD
- Colon & Rectal Surgery Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 107891
- Practice address
- 1001 E Primrose St
Springfield, MO 65807-5155 - Phone
- (417) 875-3276
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 107891 | MO | Primary |
| Surgery Physician | 208600000X | 107891 | MO |
Addresses
Primary practice location
1001 E Primrose St
Springfield, MO 65807-5155
Mailing address
PO Box 9007
Springfield, MO 65808-9007
Phone (417) 875-3000
Other practice location 1
525 Branson Landing Blvd Ste 307
Branson, MO 65616-2126
Phone (417) 348-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106986 | Other | BLUE CROSS/BLUE SHIELD | |
| 207976002 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- University of Missouri, Kansas City, School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Hwy 60
Monett, MO 65708-8258
Phone (417) 235-3144
1001 E Primrose
Springfield, MO 65807-5155
1001 E Primrose St
Springfield, MO 65807-5155
3801 S National
Ferrell Duncan Clinic
Springfield, MO 65807-5210
Phone (417) 269-6000
3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000
3901 S Fremont
Ferrell Duncan Clinic
Springfield, MO 65804-6538
Phone (417) 269-1182
3901 S Fremont Ave
Springfield, MO 65804-6538
Phone (417) 269-1182
3901 S Fremont Ave 4TH FL
Gastroenterology
Springfield, MO 65804-6538
Phone (417) 875-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.85 of 100
- Quality
- 63.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.53 of 100
- Quality
- 96.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- Quality
- 64.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 44 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107891 | MO | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients | |
| Ferrell Duncan Clinic, Inc | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
525 Branson Landing Blvd
Ste 307
Branson, MO 65616
Phone (417) 335-7736
1001 E Primrose St
Ste 200
Springfield, MO 65807
Phone (417) 875-3275
3525 S National Ave
Ste 101
Springfield, MO 65807
Phone (417) 269-9950
1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434
Interoperability endpoints
- jose.dominguez@cernerdirect.coxhealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Springfield, MO
- NPI 1760405864
-
- Family Medicine Physician
- Shell Knob, MO
- NPI 1538334396
-
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
- Family Medicine Physician
- Springfield, MO
- NPI 1922126077
-
- Multi-Specialty Clinic/Center
- Springfield, MO
- NPI 1326099383
-
- Hospitalist Physician
- Springfield, MO
- NPI 1952355646
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Monett, MO
- NPI 1194757500
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1295773927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658089007",
"telephone_number": "417-875-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E PRIMROSE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075155",
"telephone_number": "417-875-3276"
}
],
"practiceLocations": [
{
"address_1": "525 Branson Landing Blvd Ste 307",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656162126",
"country_code": "US",
"telephone_number": "417-348-8080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "JOSE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MO",
"license": "107891",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "107891",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "106986",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207976002",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.