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DR. DAVID NEWELL DUDDLESTON M.D.
NPI 1003840539
Internal Medicine in Madison, MS

Active since July 10, 2006PECOS Enrolled
87.1/100
CMS Quality Rating
128 CHADWYCK PL, MADISON, MS 39110(601) 291-1993(601) 321-2682 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. David Newell Duddleston M.d. NPPES

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

DR. DAVID NEWELL DUDDLESTON M.D. (NPI 1003840539) is an individual internal medicine provider in Madison, Mississippi, licensed in Mississippi (10654) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003840539
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID NEWELL DUDDLESTONCredential: M.D.
Location Address128 CHADWYCK PLMadison, MS 39110-6508
Mailing Address128 Chadwyck PlMadison, MS 39110-6508 · (601) 291-1993 · Fax (601) 321-2682
Phone(601) 291-1993
Fax(601) 321-2682
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateNovember 11, 2019
✔ NPI 1003840539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 10654
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 10654 (MS)
128 CHADWYCK PL, Madison, MS 39110
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Other Identifiers 1

Medicaid00015358MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health 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 (PECOS)

Dr. David Newell Duddleston 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 Billing Reassignments

5

Medicare enrollment records show David Duddleston reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Foundation Of Central Mississippi, Inc
3.8 mi
Cardiovascular Disease
401 BAPTIST DR, SUITE 304
Madison, MS 39110
  • Reassigned Medicare billing, Mississippi enrollment
  • 423 clinicians in this Medicare group
NPI 1902096837 (601) 605-3531
Mississippi Baptist Medical Center, Inc.
14 mi
Neurology
1225 N STATE ST
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • 154 clinicians in this Medicare group
NPI 1467589556 (601) 968-1362
Vicksburg Healthcare LLC
39 mi
Anesthesiology
2100 HIGHWAY 61 N
Vicksburg, MS 39183
  • Reassigned Medicare billing, Mississippi enrollment
  • 35 clinicians in this Medicare group
NPI 1629084058 (601) 883-5695
Grenada Physician Services, LLC
90 mi
Hospitalist
960 AVENT DR
Grenada, MS 38901
  • Reassigned Medicare billing, Mississippi enrollment
  • 44 clinicians in this Medicare group
NPI 1932762721 (662) 227-7000
Comprehensive Hospitalists Of Ms, LLC
118 mi
Hospitalist
1970 HOSPITAL DR
Clarksdale, MS 38614
  • Reassigned Medicare billing, Mississippi enrollment
  • 170 clinicians in this Medicare group
NPI 1710371679 (662) 627-3211

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
326 services141 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services57 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
73 services73 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
49 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39110 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

87.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.27
Improvement Activities40
Cost76.94

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%43 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$20.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$110.04 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$19.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 David Duddleston's NPI number?

The NPI number for David Duddleston is 1003840539. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is David Duddleston located?

David Duddleston practices at 128 Chadwyck Pl, Madison, MS 39110. The listed phone number is (601) 291-1993.

What is David Duddleston's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Duddleston enrolled in Medicare?

Yes. David Duddleston is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Duddleston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Duddleston reassigns Medicare benefits to 5 organizations: Medical Foundation Of Central Mississippi, Inc (Madison, MS), Mississippi Baptist Medical Center, Inc. (Jackson, MS), Vicksburg Healthcare LLC (Vicksburg, MS), Grenada Physician Services, LLC (Grenada, MS) and Comprehensive Hospitalists Of Ms, LLC (Clarksdale, MS). 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 David Duddleston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Duddleston accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list David Duddleston 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.

When was this NPI record last updated?

The NPPES record for David Duddleston was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.