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MR. KEVIN A DUFFY PAC
NPI 1164412565
Physician Assistant in Lansing, MI

Active since October 26, 2005PECOS Enrolled
4052 LEGACY PKWY, SUITE 200, LANSING, MI 48911(517) 272-9700 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2021, Nov 24, 2015 (2 updates tracked since 2015).

About Mr. Kevin A Duffy Pac NPPES

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

MR. KEVIN A DUFFY PAC (NPI 1164412565) is an individual physician assistant in Lansing, Michigan, licensed in Michigan (5601002818) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164412565
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KEVIN A DUFFYCredential: PAC
Location Address4052 LEGACY PKWY, SUITE 200Lansing, MI 48911-4285
Mailing Address4052 Legacy Pkwy, Suite 200Lansing, MI 48911-4285 · (517) 272-9700
Phone(517) 272-9700
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1164412565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601002818
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4052 LEGACY PKWY, Lansing, MI 48911
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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)

Mr. Kevin A Duffy Pac 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48911 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DERRICK E POWELL PTA
Physical Therapy Assistant
4052 LEGACY PKWY
LANSING, MI 48911
Ingham County (517) 364-0125
DANIELLE LEMUS
Specialist/Technologist (Athletic Trainer)
4052 LEGACY PKWY, SUITE 100
LANSING, MI 48911
Ingham County (517) 364-0125
MISS JANAKI BABU IYER PT
Physical Therapist
4052 LEGACY PKWY, SUITE 100
LANSING, MI 48911
Ingham County (443) 535-3649
MR. BACHU FRANKLIN R.P.T
Physical Therapist
4052 LEGACY PKWY, SUITE 100
LANSING, MI 48911
Ingham County (517) 972-9100
FRANK PHYSICAL THERAPY AND REHAB INC
Clinic/Center (Physical Therapy)
4052 LEGACY PKWY, SUITE 100
LANSING, MI 48911
Ingham County (517) 364-0125
KUMPATI SOBHA P.T
Physical Therapist
4052 LEGACY PKWY, SUITE 100
LANSING, MI 48911
Ingham County (517) 272-9100
MR. ANTONIO P. GIANNELLI P.A.C.
Physician Assistant
4052 LEGACY PKWY, SUITE 200
LANSING, MI 48911
Ingham County (517) 272-9700
LAUREN KAYLOR PA-C
Physician Assistant
4052 LEGACY PKWY, SUITE 200
LANSING, MI 48911
Ingham County (517) 272-9700

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 Kevin Duffy's NPI number?

The NPI number for Kevin Duffy is 1164412565. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Kevin Duffy located?

Kevin Duffy practices at 4052 Legacy Pkwy Suite 200, Lansing, MI 48911. The listed phone number is (517) 272-9700.

What is Kevin Duffy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kevin Duffy enrolled in Medicare?

Yes. Kevin Duffy is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Duffy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kevin Duffy 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 Kevin Duffy was last updated on May 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.