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LAURIE BOQUET DORY M.D.
NPI 1417930900
Specialist in Fort Worth, TX

Active since November 29, 2005PECOS Enrolled
901 TRAVIS AVE, FORT WORTH, TX 76104(817) 332-5585(817) 332-5377 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Laurie Boquet Dory M.d. NPPES

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

LAURIE BOQUET DORY M.D. (NPI 1417930900) is an individual specialist in Fort Worth, Texas, licensed in Texas (J4779) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417930900
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLAURIE BOQUET DORYCredential: M.D.
Location Address901 TRAVIS AVEFort Worth, TX 76104-3137
Mailing Address901 Travis AveFort Worth, TX 76104-3137 · (817) 332-5585 · Fax (817) 332-5377
Phone(817) 332-5585
Fax(817) 332-5377
Sole ProprietorYes
Enumeration DateNovember 29, 2005
Last NPPES UpdateJuly 28, 2008
✔ NPI 1417930900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · J4779
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

901 TRAVIS AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 7

Other7540001TX · Aetna
Other0076EQTX · Bcbs Number
Medicare UPINF78225TX
Medicare ID-Type Unspecified00831LTX
Other3378225TX · Bcbs Blue Link Number
Medicaid146028901TX
Medicare ID-Type Unspecified180041477TX · Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurie Boquet Dory M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%139 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.

Other Providers at the Same Location NPPES 2

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

DR. RONALD L ANTINONE M.D.
Specialist
901 TRAVIS AVE
FORT WORTH, TX 76104
Tarrant County (817) 338-0322
LAURIE BOQUET DORY, M.D.P.A.
Specialist
901 TRAVIS AVE
FORT WORTH, TX 76104
Tarrant County (817) 332-5585

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 Laurie Dory's NPI number?

The NPI number for Laurie Dory is 1417930900. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Laurie Dory located?

Laurie Dory practices at 901 Travis Ave, Fort Worth, TX 76104. The listed phone number is (817) 332-5585.

What is Laurie Dory's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Laurie Dory enrolled in Medicare?

Yes. Laurie Dory is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laurie Dory was last updated on July 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.