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STEPHANIE DUVERGE
NPI 1053819326
Dermatology in Randolph, MA

Active since January 31, 2018PECOS Enrolled
53 UNION ST APT 1, RANDOLPH, MA 02368(781) 510-0858 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2021, Apr 22, 2019 (2 updates tracked since 2019).

About Stephanie Duverge NPPES

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

STEPHANIE DUVERGE (NPI 1053819326) is an individual dermatology provider in Randolph, Massachusetts, licensed in New York (309667) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053819326
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSTEPHANIE DUVERGE
Location Address53 UNION ST APT 1Randolph, MA 02368-4926
Mailing Address53 Union St Apt 1Randolph, MA 02368-4926
Phone(781) 510-0858
Sole ProprietorNo
Enumeration DateJanuary 31, 2018
Last NPPES UpdateJuly 26, 20212 updates tracked since enumeration
NPPES CertifiedJuly 26, 2021
✔ NPI 1053819326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 309667
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2313980 (MA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2313980 (MA)
53 UNION ST APT 1, Randolph, MA 02368
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Duverge 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 Reassignment

Medicare enrollment records show Stephanie Duverge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siuc Medical PC
175 mi
Multi-Specialty
932 SOUTHERN BOULEVARD
Bronx, NY 10459
  • Reassigned Medicare billing, New York enrollment
  • 49 clinicians in this Medicare group
NPI 1467826594 (646) 680-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02368 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephanie Duverge's NPI number?

The NPI number for Stephanie Duverge is 1053819326. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Where is Stephanie Duverge located?

Stephanie Duverge practices at 53 Union St Apt 1, Randolph, MA 02368. The listed phone number is (781) 510-0858.

What is Stephanie Duverge's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Stephanie Duverge enrolled in Medicare?

Yes. Stephanie Duverge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Duverge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Duverge reassigns Medicare benefits to Siuc Medical PC (Bronx, NY). The 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 Stephanie Duverge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Duverge was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.