JESSICA LYN LAORDEN (MD) – Family Medicine Physician, NPI 1366785750
Family Medicine Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
Provider Addresses for JESSICA LYN LAORDEN (MD)
1500 S Main St
Fort Worth, TX 76104
Phone: (817) 702-1215
Fax: (817) 702-1697
Type: Location
1500 S MAIN ST
FORT WORTH, TX 76104
Phone: (817) 702-1215
Fax: (817) 702-1697
Type: Location
1724 W PLYMOUTH ST
BREMEN, IN 465061940
Phone: (574) 546-3045
Fax: (574) 546-2716
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $729.
Total Amount is formed as General ($729) + Research ($0) + Ownership ($0) = $729.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ABBVIE INC. ($153).
Total Amount
$729
General + Research + Ownership
Payments
41
Total payment records
General Amount
$729
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220810001352 | I | Family Practice | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 198 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 68 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 79 | 79 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 77 | 77 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 71 | 71 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| - | NY |
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