1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Internal Medicine
  6. NPI Profile

PHILIPPE DUHAIME M.D
NPI 1043692866
Internal Medicine in San Luis Obispo, CA

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
SIERRA VISTA REGIONAL MEDICAL CENTER, 1010 MURRAY AVE,, SAN LUIS OBISPO, CA 93405(805) 546-7000 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philippe Duhaime M.d NPPES

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

PHILIPPE DUHAIME M.D (NPI 1043692866) is an individual internal medicine provider in San Luis Obispo, California, licensed in California (A15244) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tripler Army Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043692866
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILIPPE DUHAIMECredential: M.D
Location AddressSIERRA VISTA REGIONAL MEDICAL CENTER, 1010 MURRAY AVE,San Luis Obispo, CA 93405-9340
Mailing AddressCoastal Communities Physician Network, 1305 Marsh StreetSan Luis Obispo, CA 93401 · (800) 763-7732
Phone(805) 546-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 29, 2015
Last NPPES UpdateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1043692866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A15244
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.
SIERRA VISTA REGIONAL MEDICAL CENTER, San Luis Obispo, CA 93405
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Jarrett White Rd, Tripler Army Medical CenterTripler Army Medical Center, HI 96859-5001 · Phone (808) 433-4049

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philippe Duhaime M.d 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 ID840554358
PECOS Enrollment IDI20191211001392
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.

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.
21 services21 patients
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.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93405 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

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%44 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.

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 Philippe Duhaime's NPI number?

The NPI number for Philippe Duhaime is 1043692866. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Philippe Duhaime located?

Philippe Duhaime practices at Sierra Vista Regional Medical Center 1010 Murray Ave,, San Luis Obispo, CA 93405. The listed phone number is (805) 546-7000.

What is Philippe Duhaime's specialty?

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

Is Philippe Duhaime enrolled in Medicare?

Yes. Philippe Duhaime 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.

When was this NPI record last updated?

The NPPES record for Philippe Duhaime was last updated on June 29, 2020. 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.