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KENNETH J LAURORA MD
NPI 1184606378
Internal Medicine in Livingston, TX

Active since November 15, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1015907 · Microscopy
91.24/100
CMS Quality Rating
300 BYPASS LN, SUITE 208, LIVINGSTON, TX 77351(936) 327-1020(936) 327-1022 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth J Laurora Md NPPES

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

KENNETH J LAURORA MD (NPI 1184606378) is an individual internal medicine provider in Livingston, Texas, licensed in Texas (L6237) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 14, 2027, and is affiliated with Chi St Lukes Health Memorial Livingston.

NPPES Registry Identity

NPI1184606378
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH J LAURORACredential: MD
Location Address300 BYPASS LN, SUITE 208Livingston, TX 77351-8413
Mailing Address300 Bypass Ln, Suite 208Livingston, TX 77351-8413 · (936) 327-1020 · Fax (936) 327-1022
Phone(936) 327-1020
Fax(936) 327-1022
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1999
Enumeration DateNovember 15, 2005
Last NPPES UpdateDecember 22, 2016
✔ NPI 1184606378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L6237
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 BYPASS LN, Livingston, TX 77351
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Other Identifiers 7

Medicare UPINH85691TX
Medicare PINTXB118015TX
Other830360404Ein
Medicare PINTXB118014TX
Medicare PIN00695PTX
Medicaid296647502TX
Medicaid158661202TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Kenneth J Laurora 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 ID7517861313
PECOS Enrollment IDI20031124000185
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1015907

Kenneth J Laurora, MD, PA · Livingston, TX
Active · expires Aug 14, 2027
CLIA Number45D1015907
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorKenneth J. Laurora
Laboratory Phone(936) 327-1020
Laboratory LocationKenneth J Laurora, MD, PA300 Bypass Lane, Suite 208, Livingston, TX 77351
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 13

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.
315 services102 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.
276 services105 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
56 services11 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
45 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
40 services29 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
29 services15 patients

Hospital Affiliations CMS Care Compare

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

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450395
Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77351 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

91.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost70.8

Reported Quality Measures

Breast Cancer Screening
81%127 patients4/55-star benchmark: 93%
Cervical Cancer Screening
18%51 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
45%207 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
86%300 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
59%336 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%114 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%2,558 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
36%433 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%579 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 494 patients
Patients screened: 90% · 494 patients
99%74 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 447 patients
Patients totalRate: 0% · 447 patients
0%447 patients5/55-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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers33 claims100 services$6.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$16.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$83.16 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$29.58 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 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 4

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

LIVINGSTON FAMILY MEDICINE, P.A.
Family Medicine
300 BYPASS LN, SUITE 200
LIVINGSTON, TX 77351
Polk County (936) 327-3843
KARLA VINECE BOLTON BRUNING M.D
Family Medicine
300 BYPASS LN, SUITE 200
LIVINGSTON, TX 77351
Polk County (936) 327-3843
DR. MICHAEL SHUKAN M.D.
Family Medicine
300 BYPASS LN, SUITE 206
LIVINGSTON, TX 77351
Polk County (936) 327-2565
MR. JAMES E BAUGH L.M.T.
Massage Therapist
300 BYPASS LN, SUITE 206
LIVINGSTON, TX 77351
Polk County (936) 328-6946

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 Kenneth Laurora's NPI number?

The NPI number for Kenneth Laurora is 1184606378. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Kenneth Laurora located?

Kenneth Laurora practices at 300 Bypass Ln Suite 208, Livingston, TX 77351. The listed phone number is (936) 327-1020.

What is Kenneth Laurora's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Laurora enrolled in Medicare?

Yes. Kenneth Laurora 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.

Does Kenneth Laurora hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1015907) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kenneth Laurora accept?

Health plans from Blue Cross and Blue Shield of Texas list Kenneth Laurora as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenneth Laurora affiliated with any hospitals?

According to CMS data, Kenneth Laurora is affiliated with Chi St Lukes Health Memorial Livingston.

When was this NPI record last updated?

The NPPES record for Kenneth Laurora was last updated on December 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.