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DANIEL JUSTIN DUKES MD
NPI 1225357577
Pediatrics in Greenville, SC

Active since May 26, 2010PECOS Enrolled
525 VERDAE BLVD STE 200, GREENVILLE, SC 29607(864) 272-0388(864) 213-9237 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daniel Justin Dukes Md NPPES

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

DANIEL JUSTIN DUKES MD (NPI 1225357577) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (32655) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1225357577
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDANIEL JUSTIN DUKESCredential: MD
Location Address525 VERDAE BLVD STE 200Greenville, SC 29607-4021
Mailing Address525 Verdae Blvd Ste 200Greenville, SC 29607-4021 · (864) 272-0388 · Fax (864) 213-9237
Phone(864) 272-0388
Fax(864) 213-9237
Sole ProprietorNo
Enumeration DateMay 26, 2010
Last NPPES UpdateFebruary 13, 2019
✔ NPI 1225357577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 32655
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
525 VERDAE BLVD STE 200, Greenville, SC 29607
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Secondary Practice Locations 4

Location 1145 E Poinsett StGreer, SC 29651-3405 · Phone (864) 272-0388 · Fax (864) 213-9237
Location 2211 Batesville RdSimpsonville, SC 29681-4816 · Phone (864) 272-0388 · Fax (864) 213-9237
Location 3312 Harrison Bridge RdSimpsonville, SC 29680-7133 · Phone (864) 272-0388 · Fax (864) 213-9237
Location 43020 Reidville Rd Ste BSpartanburg, SC 29301-5641 · Phone (864) 272-0388 · Fax (864) 213-9237

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Justin Dukes Md 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 Daniel Dukes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Musc Affiliate Physicians
196 mi
Family Medicine
171 ASHLEY AVE
Charleston, SC 29425
  • Reassigned Medicare billing, South Carolina enrollment
  • 140 clinicians in this Medicare group
NPI 1548849482 (843) 792-1414

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 29607 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

KATHERINE LACEY KAISER CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
525 VERDAE BLVD STE 200
GREENVILLE, SC 29607
Greenville County (864) 272-0388
MRS. CAROLINE HART PA-C
Physician Assistant
525 VERDAE BLVD STE 200
GREENVILLE, SC 29607
Greenville County (864) 272-0388
MR. GARY ALLEN BASS MD
Pediatrics
525 VERDAE BLVD STE 200
GREENVILLE, SC 29607
Greenville County (864) 272-0388
BRITTAINE HINKSON DAVIS PA
Physician Assistant (Medical)
525 VERDAE BLVD STE 200
GREENVILLE, SC 29607
Greenville County (864) 272-0388
KRISTIN MALIK RICH LPC
Counselor (Mental Health)
525 VERDAE BLVD STE 200
GREENVILLE, SC 29607
Greenville County (864) 757-5500
CHRISTOPHER M DAVIS DO
Family Medicine
525 VERDAE BLVD STE 200
GREENVILLE, SC 29607
Greenville County (864) 272-0388
LAUREN GRACE OWENS WILLIAMS MS, APRN, FNP-C
Nurse Practitioner (Family)
525 VERDAE BLVD STE 200
GREENVILLE, SC 29607
Greenville County (803) 272-0388
MR. WILLIAM M DARBY III MD
Pediatrics
525 VERDAE BLVD STE 200
GREENVILLE, SC 29607
Greenville County (864) 272-0388

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 Daniel Dukes's NPI number?

The NPI number for Daniel Dukes is 1225357577. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Where is Daniel Dukes located?

Daniel Dukes practices at 525 Verdae Blvd Ste 200, Greenville, SC 29607. The listed phone number is (864) 272-0388.

What is Daniel Dukes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Daniel Dukes enrolled in Medicare?

Yes. Daniel Dukes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Dukes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Dukes reassigns Medicare benefits to Musc Affiliate Physicians (Charleston, SC). 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 Daniel Dukes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Dukes accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Daniel Dukes 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 Daniel Dukes was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.