ALBERTO N LAUREANO MD
NPI 1023109758
Otolaryngology in Lexington, KY

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
1720 NICHOLASVILLE ROAD, SUITE 500, LEXINGTON, KY 40503(859) 278-1114(859) 277-0541 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alberto N Laureano Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALBERTO N LAUREANO MD (NPI 1023109758) is an individual otolaryngology provider in Lexington, Kentucky, licensed in Kentucky (KY29534) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Harrison Memorial Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1987).

NPPES Registry Identity

NPI1023109758
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameALBERTO N LAUREANOCredential: MD
Location Address1720 NICHOLASVILLE ROAD, SUITE 500Lexington, KY 40503
Mailing Address1720 Nicholasville Rd, Ste 500Lexington, KY 40503-1404 · (859) 278-1114 · Fax (859) 277-0541
Fax(859) 277-0541
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1987
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMarch 28, 2013
NPI 1023109758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in KY · KY29534
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1720 NICHOLASVILLE ROAD, Lexington, KY 40503

Other Identifiers 5

Medicaid64295348KY
Medicare PIN0169KY
Medicare UPINF57244
Medicare PIN0383904KY
Medicare PIN1503405KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alberto N Laureano Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830082775
PECOS Enrollment IDI20040205000110
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
389 services273 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
137 services113 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
120 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
100 services100 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services81 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
94 services66 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180079
Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Promoting Interoperability100
Improvement Activities40
Cost52.71

Reported Quality Measures

Breast Cancer Screening
19%512 patients1/55-star benchmark: 93%
Cervical Cancer Screening
13%503 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
51%88 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
22%1,090 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
66%163 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
33%67 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
39%67 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,056 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
16%841 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%1,873 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
9%1,845 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 38% · 1,460 patients
Patients screened: 39% · 1,460 patients
54%48 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%185 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 872 patients
Patients totalRate: 6% · 884 patients
6%884 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers29 claims29 services$38.28 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers20 claims20 services$94.26 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers21 claims59 services$35.86 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers12 claims67 services$17.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers21 claims21 services$55.27 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers21 claims21 services$18.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hospice and Palliative Medicine)
1720 NICHOLASVILLE ROAD, SUITE 703
LEXINGTON, KY 40503
Internal Medicine (Gastroenterology)
1720 NICHOLASVILLE ROAD, SUITE 302
LEXINGTON, KY 40503
Nurse Practitioner
1720 NICHOLASVILLE ROAD, SUITE 500
LEXINGTON, KY 40503
Internal Medicine (Gastroenterology)
1720 NICHOLASVILLE ROAD, SUITE 302
LEXINGTON, KY 40503
Otolaryngology
1720 NICHOLASVILLE ROAD, SUITE 500
LEXINGTON, KY 40503
Otolaryngology
1720 NICHOLASVILLE ROAD, SUITE 500
LEXINGTON, KY 40503
Otolaryngology
1720 NICHOLASVILLE ROAD, SUITE 500
LEXINGTON, KY 40503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alberto Laureano's NPI number?

The NPI number for Alberto Laureano is 1023109758. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Alberto Laureano located?

Alberto Laureano practices at 1720 Nicholasville Road Suite 500, Lexington, KY 40503. The listed phone number is (859) 278-1114.

What is Alberto Laureano's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Alberto Laureano enrolled in Medicare?

Yes. Alberto Laureano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alberto Laureano affiliated with any hospitals?

According to CMS data, Alberto Laureano is affiliated with Harrison Memorial Hospital and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Alberto Laureano was last updated on March 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.