DR. VINCENT JOSEPH DUENAS MD
NPI 1083142152
Hospitalist in O Fallon, IL

Active since June 01, 2017PECOS EnrolledAccepts Medicare Assignment
90.77/100
CMS Quality Rating
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 234-2120 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2022, Jun 1, 2017 (2 updates tracked since 2017).

About Dr. Vincent Joseph Duenas Md NPPES

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

DR. VINCENT JOSEPH DUENAS MD (NPI 1083142152) is an individual hospitalist provider in O Fallon, Illinois, licensed in Illinois (036.152811) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and is a graduate of Saint Louis University School Of Medicine (2017).

NPPES Registry Identity

NPI1083142152
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. VINCENT JOSEPH DUENASCredential: MD
Location Address1 SAINT ELIZABETH BLVDO Fallon, IL 62269-1099
Mailing Address1 Saint Elizabeth BlvdO Fallon, IL 62269-1099 · (618) 234-2120
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2017
Enumeration DateJune 1, 2017
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
NPI 1083142152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036.152811
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 125-070791 (IL)
1 SAINT ELIZABETH BLVD, O Fallon, IL 62269

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

Dr. Vincent Joseph Duenas 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 ID6901171354
PECOS Enrollment IDI20200730002896
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 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.

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.
583 services194 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.
177 services168 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.
116 services58 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.
45 services44 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services15 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
20 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

90.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.98
Improvement Activities40
Cost68.13

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.

Rehabilitation Unit
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Student in an Organized Health Care Education/Training Program
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Practitioner (Family)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Anesthesiology
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Practitioner
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Internal Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Nurse Anesthetist, Certified Registered
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Obstetrics & Gynecology
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269

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 Vincent Duenas's NPI number?

The NPI number for Vincent Duenas is 1083142152. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Vincent Duenas located?

Vincent Duenas practices at 1 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (618) 234-2120.

What is Vincent Duenas's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Vincent Duenas enrolled in Medicare?

Yes. Vincent Duenas 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.

Is Vincent Duenas affiliated with any hospitals?

According to CMS data, Vincent Duenas is affiliated with Hshs Holy Family Hospital Inc, St Josephs Hospital, Hshs St Elizabeth's Hospital, St Joseph's Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Vincent Duenas was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.