LAURA MARIE DOMINGUEZ (MD) – Otolaryngology Physician, NPI 1649407925

LAURA MARIE DOMINGUEZ (MD) is a healthcare provider. based in Southlake, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. P9329 (TX). The NPI Number for LAURA MARIE DOMINGUEZ (MD) is 1649407925

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LAURA MARIE DOMINGUEZ (MD)
NPI
1649407925
Phone
(817) 989-2400
Address
300 S NOLEN DR STE 100
Enumeration Date
15 June 2009
Last Update Date
20 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8179892400
Graduation Year
2009 (17 years ago)
PAC ID
0143469502
Group Practice PAC ID
4385709054
Professional Enrollment ID
I20140715002257
Address ID
TX760928057SO300XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

Provider Addresses for LAURA MARIE DOMINGUEZ (MD)

  • 300 S NOLEN DR STE 100

    SOUTHLAKE, TX 760928057

    Phone: (817) 989-2400

    Type: Mailing

  • Cleveland Clinic Boulevard, Weston, Broward County, Florida, 33331, United States

    WESTON, FL 333313609

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $581.

Total Amount is formed as General ($581) + Research ($0) + Ownership ($0) = $581.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AERIN MEDICAL INC. ($170).

Total Amount

$581

General + Research + Ownership

Payments

14

Total payment records

General Amount

$581

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140715002257IOtolaryngologyTXTBD
I20200605001775IOtolaryngologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
31579Exam to assess movement of vocal cord flaps using an endoscope298251$0
99204New patient office or other outpatient visit, 45-59 minutes111111$0
99214Established patient office or other outpatient visit, 30-39 minutes10195$0
99213Established patient office or other outpatient visit, 20-29 minutes10094$0
31575Diagnostic exam of voice box using a flexible endoscope8278$0
View full utilization report →

Insurance plans in this area (ZIP 76092)

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Provider's Procedures

LAURA MARIE DOMINGUEZ (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYTX92524Behavioral and qualitative analysis of voice and resonance2222

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385709054View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YTX
Qualified AudiologistTX
Qualified AudiologistTX
Qualified AudiologistTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Nurse PractitionerTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
O T O L A R Y N G O L O G YTX

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Frequently asked questions

What number should I use to identify LAURA MARIE DOMINGUEZ (MD) for billing?
Administrative and clinical systems typically use NPI 1649407925 for LAURA MARIE DOMINGUEZ (MD).
Does the public listing show LAURA MARIE DOMINGUEZ (MD) as active?
LAURA MARIE DOMINGUEZ (MD)'s NPI record reflects an active status in NPPES.
What services align with LAURA MARIE DOMINGUEZ (MD)'s listing?
LAURA MARIE DOMINGUEZ (MD)'s public classification highlights Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to LAURA MARIE DOMINGUEZ (MD)?
LAURA MARIE DOMINGUEZ (MD) shows a connection to Southlake, Texas in registry-derived data.
Can I export LAURA MARIE DOMINGUEZ (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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