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DR. SCOTT ANTHONY DUCHARME DO
NPI 1174836019
Emergency Medicine in Erie, PA

Active since July 20, 2010PECOS Enrolled
93.78/100
CMS Quality Rating

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2020, Aug 14, 2019, Sep 24, 2016 (3 updates tracked since 2016).

About Dr. Scott Anthony Ducharme Do NPPES

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

DR. SCOTT ANTHONY DUCHARME DO (NPI 1174836019) is an individual emergency medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OT014428) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174836019
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SCOTT ANTHONY DUCHARMECredential: DO
Location Address232 W 25TH STErie, PA 16544-0002
Mailing Address232 W 25th StErie, PA 16544-0002 · (814) 452-5000
Phone(814) 452-5000
Sole ProprietorNo
Enumeration DateJuly 20, 2010
Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1174836019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · OT014428✔ Licensed in OH · 34.010796✔ Licensed in NY · 271509
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 2550 (WV)
232 W 25TH ST, Erie, PA 16544
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1189 E Main StWestfield, NY 14787-1104 · Phone (716) 326-4921
Location 24950 Buffalo RdErie, PA 16510-2304 · Phone (814) 898-2576
Location 34247 W Ridge Rd Ste 101Erie, PA 16506-1746 · Phone (814) 835-2580

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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. Scott Anthony Ducharme Do 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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
188 services186 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
65 services65 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.
53 services53 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
36 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16544 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

ANESTHESIA CONSULTANTS OF ERIE, INC.
Anesthesiology
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5000
PENN NORTH CENTERS FOR ADVANCED WOUND CARE PC
Surgery
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-7878
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Obstetrics & Gynecology
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5000
MS. TERI L. PROPST CRNA
Nurse Anesthetist, Certified Registered
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5000
PATHOLOGY ASSOCIATES OF ERIE INC
Pathology (Clinical Pathology/Laboratory Medicine)
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 288-8325
MARY MCLAUGHLIN
Nurse Anesthetist, Certified Registered
232 W 25TH ST, 7TH FLOOR
ERIE, PA 16544
Erie County (814) 452-5000
DR. TIMOTHY CHESLOCK DO
Emergency Medicine
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 734-1618
MS. TANYA M GORE PHARMD
Pharmacist
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5439

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 Scott Ducharme's NPI number?

The NPI number for Scott Ducharme is 1174836019. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Scott Ducharme located?

Scott Ducharme practices at 232 W 25th St, Erie, PA 16544. The listed phone number is (814) 452-5000.

What is Scott Ducharme's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Scott Ducharme enrolled in Medicare?

Yes. Scott Ducharme is registered in the Medicare PECOS enrollment system.

What insurance does Scott Ducharme accept?

Health plans from CareSource and Molina Healthcare list Scott Ducharme 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 Scott Ducharme was last updated on October 2, 2020. 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.