DR. EDWARD A M DUCKWORTH MD NPI 1003038043

Neurological Surgery in Houston, TX

NPI 1003038043 Individual Male Years of Experience 23 Neurological Surgery PECOS Enrolled Accepts Medicare Approved Payment

About EDWARD DUCKWORTH

Edward Duckworth is a provider established in Houston, Texas and his medical specialization is neurological surgery with more than 23 years of experience. He graduated from University Of South Florida College Of Medicine in 1999. The NPI number of Edward Duckworth is 1003038043 and was assigned on May 2007. The practitioner's primary taxonomy code is 207T00000X with license number N2478 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.

Edward Duckworth is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Edward Duckworth is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with St Luke's Regional Medical Center, St Luke's Nampa Medical Center, St Lukes Magic Valley Medical Center and St Luke's Mccall.

NPI

1003038043

Provider NameDR. EDWARD A M DUCKWORTH MD
Provider Location Address1709 DRYDEN RD SUITE 750 - DEPARTMENT OF NEUROSURGERY HOUSTON, TX 77030
Provider Mailing Address1709 DRYDEN RD SUITE 750 - DEPARTMENT OF NEUROSURGERY HOUSTON, TX 77030
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year1999
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-02-2007
Last Update Date07-29-2009


Primary Taxonomy

Taxonomy Code207T00000X
ClassificationNeurological Surgery
TypeAllopathic & Osteopathic Physicians
License No.N2478
License StateTX
Taxonomy DescriptionA neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Business Address

DR. EDWARD A M DUCKWORTH MD
1709 DRYDEN RD
SUITE 750 - DEPARTMENT OF NEUROSURGERY
HOUSTON, TX
ZIP 77030
Phone: (713) 798-4946
Fax: (713) 798-3739

Get Directions


Mailing Address

DR. EDWARD A M DUCKWORTH MD
1709 DRYDEN RD
SUITE 750 - DEPARTMENT OF NEUROSURGERY
HOUSTON, TX
ZIP 77030
Phone: (713) 798-4946
Fax: (713) 798-3739



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1759489438
PECOS Enrollment IDI20160909002075
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Edward Duckworth is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ST LUKE'S REGIONAL MEDICAL CENTER190 EAST BANNOCK STREET
BOISE, ID 83712
(208) 381-2222Acute Care Hospitals130006
ST LUKE'S NAMPA MEDICAL CENTER9850 W ST LUKES DRIVE STE 250
NAMPA, ID 83687
(208) 505-2000Acute Care Hospitals130071
ST LUKES MAGIC VALLEY MEDICAL CENTER801 POLE LINE ROAD WEST
TWIN FALLS, ID 83301
(208) 814-1000Acute Care Hospitals130002
ST LUKE'S MCCALL1000 STATE STREET
MCCALL, ID 83638
(208) 630-2395Critical Access Hospitals131312

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery036116403ILNo

Taxonomy Description: a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8L14740MEDICARE PIN (08)TX
8L14492MEDICARE PIN (08)TX

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093761454 DAVID GEORGE ALLEMAN MD
Individual
Anesthesiology1709 DRYDEN RD SUITE 1700
HOUSTON, TX 77030
(713) 873-2860
1174564876 GREGG CHARLES GEBETSBERGER CRNA
Individual
Nurse Anesthetist, Certified Registered1709 DRYDEN RD SUITE 1700, MS: BCM120
HOUSTON, TX 77030
(713) 873-2900
1942224795DR. RICHARD JAMES HAMILL M.D.
Individual
Internal Medicine (Infectious Disease)1709 DRYDEN RD SUITE 550
HOUSTON, TX 77030
(713) 798-0206
1598859449 MANISHA GANDHI M.D.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)1709 DRYDEN RD 11TH FLOOR
HOUSTON, TX 77030
(713) 798-5511
1659460277DR. ANOOP AGRAWAL M.D.
Individual
Internal Medicine1709 DRYDEN RD SUITE 5.86B
HOUSTON, TX 77030
(713) 798-0199
1720178296 RAJA R PALVADI MD
Individual
Anesthesiology1709 DRYDEN RD SUITE 1700, MS: BCM120
HOUSTON, TX 77030
(713) 798-8786
1306926647 JOSEPH VU MD
Individual
Anesthesiology1709 DRYDEN RD
HOUSTON, TX 77030
(713) 798-6918
1639259054 QUISQUEYA PALACIOS MD
Individual
Anesthesiology1709 DRYDEN RD
HOUSTON, TX 77030
(713) 798-6918
1992883110 JOSE RIVERS MD
Individual
Anesthesiology1709 DRYDEN RD
HOUSTON, TX 77030
(713) 798-6918
1942369343 GAGAN KUMAR SOOD MBBS
Individual
Internal Medicine (Gastroenterology)1709 DRYDEN RD SUITE 1500
HOUSTON, TX 77030
(713) 798-8355
1821145533 KATHLEEN ANNE CANTY CRNA
Individual
Nurse Anesthetist, Certified Registered1709 DRYDEN RD SUITE 1700
HOUSTON, TX 77030
(713) 798-7356
1457408296 DIANE ELIZABETH BIEGEL CRNA
Individual
Nurse Anesthetist, Certified Registered1709 DRYDEN RD SUITE 1700, MS: BCM120
HOUSTON, TX 77030
(713) 798-7356
1114076346 KATHLEEN FIELDS
Individual
Nurse Anesthetist, Certified Registered1709 DRYDEN RD SUITE 1700
HOUSTON, TX 77030
(713) 798-7356
1467507376 MELISSA DAVIS WOLF CRNA
Individual
Nurse Anesthetist, Certified Registered1709 DRYDEN RD SUITE 1700
HOUSTON, TX 77030
(713) 798-7356
1912046392DR. ADAM THOMAS SCHMIDT PH.D
Individual
Clinical Neuropsychologist1709 DRYDEN RD SUITE 1200
HOUSTON, TX 77030
(713) 798-8837
1518168574DR. SUSAN C LEE M.D
Individual
Anesthesiology1709 DRYDEN RD SUITE 1700
HOUSTON, TX 77030
(713) 798-8786
1093915217 AYSIN TURAN M.D.
Individual
Student in an Organized Health Care Education/Training Program1709 DRYDEN RD SUITE 1700
HOUSTON, TX 77030
(713) 798-7355
1518130459DR. STEPHANIE CHAMPION M.D.
Individual
Obstetrics & Gynecology1709 DRYDEN RD SUITE 1100
HOUSTON, TX 77030
(713) 798-5505
1598939068 RAMYAR GILANI MD
Individual
Surgery (Vascular Surgery)1709 DRYDEN RD SUITE 1500
HOUSTON, TX 77030
(713) 798-8412
1841458965BAYLOR COLLEGE OF MEDICINE
Organization
Clinic/Center (Ambulatory Surgical)1709 DRYDEN RD 750
HOUSTON, TX 77030
(713) 798-4696

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.