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LAURA MARIE DOMINGUEZ MD
NPI 1649407925
Otolaryngology in Southlake, TX

Active since June 15, 2009PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
300 S NOLEN DR STE 100, SOUTHLAKE, TX 76092(817) 989-2400 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2024, Jun 30, 2020, Mar 5, 2019 (3 updates tracked since 2019).

About Laura Marie Dominguez Md NPPES

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

LAURA MARIE DOMINGUEZ MD (NPI 1649407925) is an individual otolaryngology provider in Southlake, Texas, licensed in Texas (P9329) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of University Of Texas Medical School At San Antonio (2009).

NPPES Registry Identity

NPI1649407925
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameLAURA MARIE DOMINGUEZCredential: MD
Location Address300 S NOLEN DR STE 100Southlake, TX 76092-8057
Mailing Address300 S Nolen Dr Ste 100Southlake, TX 76092-8057 · (817) 989-2400
Phone(817) 989-2400
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2009
Enumeration DateJune 15, 2009
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1649407925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · P9329
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.
300 S NOLEN DR STE 100, Southlake, TX 76092
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Other Identifiers 2

Other336345902TX · Cshcn
Medicaid336345901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura Marie Dominguez 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 ID143469502
PECOS Enrollment IDI20140715002257
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 Billing Reassignments

3

Medicare enrollment records show Laura Dominguez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Ent & Allergy Centers Of Texas, PLLC
32 mi
Otolaryngology
5220 W UNIVERSITY DR STE 150
Mckinney, TX 75071
  • Reassigned Medicare billing, Texas enrollment
  • 52 clinicians in this Medicare group
NPI 1144470873 (972) 984-1050
University Of Texas Health Science Center At San Antonio
239 mi
Diagnostic Radiology
25753 OLD FREDERICKSBURG
Boerne, TX 78015
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group
NPI 1417921834 (210) 450-9000
Cleveland Clinic Florida A Nonprofit Corporation
1,112 mi
Clinic/Center
2950 CLEVELAND CLINIC BLVD
Weston, FL 33331
  • Reassigned Medicare billing, Florida enrollment
  • 839 clinicians in this Medicare group
NPI 1215989298 (954) 659-6035

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
118 services104 patients
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.
103 services93 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 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.
66 services58 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.
58 services58 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
55 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hurst-Euless-Bedford

Acute Care Hospitals · Bedford, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450639
Location1600 Hospital ParkwayBedford, TX 76022 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

DR. MARY GAJEWSKI ASHMEAD MD
Otolaryngology
300 S NOLEN DR STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 989-2400
AMY LYNN MCDONALD P.A.
Physician Assistant
300 S NOLEN DR STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 989-2400
JOSHUA CALDWELL AUD
Audiologist
300 S NOLEN DR STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 989-2400
TOYA WOODARD PTA
Physical Therapy Assistant
300 S NOLEN DR STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 410-7777

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 Laura Dominguez's NPI number?

The NPI number for Laura Dominguez is 1649407925. It was assigned to this individual provider in the NPPES registry on June 15, 2009.

Where is Laura Dominguez located?

Laura Dominguez practices at 300 S Nolen Dr Ste 100, Southlake, TX 76092. The listed phone number is (817) 989-2400.

What is Laura Dominguez's specialty?

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

Is Laura Dominguez enrolled in Medicare?

Yes. Laura Dominguez 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.

Which organizations bill Medicare for Laura Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Dominguez reassigns Medicare benefits to 3 organizations: The Ent & Allergy Centers Of Texas, PLLC (Mckinney, TX), University Of Texas Health Science Center At San Antonio (Boerne, TX) and Cleveland Clinic Florida A Nonprofit Corporation (Weston, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laura Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Dominguez accept?

Health plans from Baylor Scott and White Health Plan list Laura Dominguez 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 Laura Dominguez affiliated with any hospitals?

According to CMS data, Laura Dominguez is affiliated with Baylor Scott & White Medical Center Grapevine and Texas Health Harris Methodist Hurst-Euless-Bedford.

When was this NPI record last updated?

The NPPES record for Laura Dominguez was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.