DR. BARBARA DUCATMAN M.D.
NPI 1023083425
Pathology - Anatomic Pathology & Clinical Pathology in Royal Oak, MI

Active since February 20, 2006PECOS Enrolled
84.72/100
CMS Quality Rating
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-9060(248) 898-9054 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Barbara Ducatman M.d. NPPES

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

DR. BARBARA DUCATMAN M.D. (NPI 1023083425) is an individual anatomic pathology & clinical pathology provider in Royal Oak, Michigan, licensed in Michigan (4301112293) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023083425
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. BARBARA DUCATMANCredential: M.D.
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address26901 Beaumont Blvd Suite 3dSouthfield, MI 48033-3849 · (947) 522-1860 · Fax (947) 522-0307
Fax(248) 898-9054
Sole ProprietorNo
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJanuary 17, 2019
NPI 1023083425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in MI · 4301112293 Licensed in WV · 16938
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 16938 (WV)
3601 W 13 MILE RD, Royal Oak, MI 48073

Accepted Insurance

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. Barbara Ducatman 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.

Areas of Expertise CMS Part B claims 2

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.

Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
26 services23 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

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.

Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073

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 Barbara Ducatman's NPI number?

The NPI number for Barbara Ducatman is 1023083425. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Barbara Ducatman located?

Barbara Ducatman practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-9060.

What is Barbara Ducatman's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Barbara Ducatman enrolled in Medicare?

Yes. Barbara Ducatman is registered in the Medicare PECOS enrollment system.

What insurance does Barbara Ducatman accept?

Health plans from CareSource and Priority Health list Barbara Ducatman 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 Barbara Ducatman was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.