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PETER G PASSIAS MD
NPI 1003070327
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Durham, NC

Active since July 16, 2008PECOS EnrolledAccepts Medicare Assignment
40 DUKE MEDICINE CIRCLE, DUKE SPINE CENTER CLINIC 1B/1C, DURHAM, NC 27710(919) 618-2735 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2024, Sep 19, 2022 (2 updates tracked since 2022).

About Peter G Passias Md NPPES

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

PETER G PASSIAS MD (NPI 1003070327) is an individual orthopaedic surgery of the spine provider in Durham, North Carolina, licensed in North Carolina (2024-00779) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003070327
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NamePETER G PASSIASCredential: MD
Location Address40 DUKE MEDICINE CIRCLE, DUKE SPINE CENTER CLINIC 1B/1CDurham, NC 27710
Mailing Address293 Laurel RdNew Canaan, CT 06840-2707 · (760) 419-5607
Phone(919) 618-2735
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 16, 2008
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1003070327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in NC · 2024-00779
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
40 DUKE MEDICINE CIRCLE, Durham, NC 27710
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Secondary Practice Locations 2

Location 1Massachusetts General Hospital, 55 Fruit StreetBOSTON, MA 02114 · Phone (617) 724-6802
Location 2761 Merrick AveWestbury, NY 11590-6608 · Phone (516) 357-8777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Peter G Passias 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 ID9931384633
PECOS Enrollment IDI20240619001764
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 Peter Passias reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc.
Same address
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855
Alexandre B. De Moura MD PC
437 mi
Specialist
761 MERRICK AVENUE
Westbury, NY 11590
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
NPI 1881863447 (516) 357-8777
New York University
655 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
59 services46 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
50 services12 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.
43 services29 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.
28 services28 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.
24 services19 patients
Aspiration of bone marrow for spine bone graft 20939
Aspiration of bone marrow for spine bone graft is a procedure where a small amount of bone marrow is extracted, usually from the hip, and then used to help new bone grow in the spine. This can aid in spinal fusion surgeries, enhancing recovery and stability.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

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.

KELSIE MITCHELL
Speech-Language Pathologist
40 DUKE MEDICINE CIRCLE, DEPT OF SPEECH PATHOLOGY & AUDIOLOGY - DUKE UNIVER
DURHAM, NC 27710
Durham County (919) 684-6271
ARTHUR SUAREZ M.S., CCC-SLP
Speech-Language Pathologist
40 DUKE MEDICINE CIRCLE, CLINIC 1-I
DURHAM, NC 27710
Durham County (919) 684-3451
JOSHUA THOMAS THADEN M.D./PH.D.
Internal Medicine (Infectious Disease)
40 DUKE MEDICINE CIRCLE, CLINIC 1K
DURHAM, NC 27710
Durham County (919) 668-3197
DR. NANCY ADALYN WILSON WESTMARK DMD, MPH
Dentist
40 DUKE MEDICINE CIRCLE, CLINIC 1F
DURHAM, NC 27710
Durham County (919) 660-1263
DEVIN BYRON LEMMEX MD
Student in an Organized Health Care Education/Training Program
40 DUKE MEDICINE CIRCLE, ROOM 5309 (ORANGE BUILDING)
DURHAM, NC 27710
Durham County (919) 684-3170
SUMMER DAWN CARLSON
Nurse Practitioner (Family)
40 DUKE MEDICINE CIRCLE, CLINIC 2D
DURHAM, NC 27710
Durham County (919) 684-8845
MEREDITH MACEWEN ARANGALA RD, LDN, CNSC
Dietitian, Registered
40 DUKE MEDICINE CIRCLE, ROOM 015, PURPLE ZONE
DURHAM, NC 27710
Durham County (919) 684-2110
SUSAN BOWEN FREEMAN
Clinical Nurse Specialist
40 DUKE MEDICINE CIRCLE
DURHAM, NC 27710
Durham County (919) 681-1862

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 Peter Passias's NPI number?

The NPI number for Peter Passias is 1003070327. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Peter Passias located?

Peter Passias practices at 40 Duke Medicine Circle Duke Spine Center Clinic 1b/1c, Durham, NC 27710. The listed phone number is (919) 618-2735.

What is Peter Passias's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Peter Passias enrolled in Medicare?

Yes. Peter Passias 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 Peter Passias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Passias reassigns Medicare benefits to 3 organizations: Duke Health Integrated Practice, Inc. (Durham, NC), Alexandre B. De Moura MD PC (Westbury, NY) and New York University (Boynton Beach, 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 Peter Passias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Passias accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Peter Passias 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 Peter Passias affiliated with any hospitals?

According to CMS data, Peter Passias is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Peter Passias was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.