DR. MARY QUICENO M.D.
NPI 1497754162
Psychiatry & Neurology - Neurology in Fort Worth, TX

Q: What is Mary Quiceno's NPI number?

The NPI number for Mary Quiceno is 1497754162. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Q: What is Mary Quiceno's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Mary Quiceno was last updated on February 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 15, 2005PECOS Enrolled

855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 735-2200(817) 735-5441 Get Directions Write a Review

NPPES record last updated: February 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mary Quiceno M.d. NPPES

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

DR. MARY QUICENO M.D. (NPI 1497754162) is an individual neurology provider in Fort Worth, Texas, licensed in Texas (L6149) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497754162

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. MARY QUICENOCredential: M.D.

Location Address855 MONTGOMERY STFort Worth, TX 76107-2553

Mailing Address855 Montgomery StFort Worth, TX 76107-2553 · (817) 735-2200 · Fax (817) 735-5441

Phone(817) 735-2200

Fax(817) 735-5441

Sole ProprietorNo

Enumeration DateJuly 15, 2005

Last NPPES UpdateFebruary 9, 2018

✔ NPI 1497754162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in TX · L6149

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

855 MONTGOMERY ST, Fort Worth, TX 76107

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Quiceno 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

Other Providers at the Same Location NPPES 20

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

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH

Pathology (Clinical Pathology/Laboratory Medicine)