DUNCAN D WORMER MD NPI 1245227776

Internal Medicine (Cardiovascular Disease) in Rochester, NY

NPI 1245227776 Individual Male Internal Medicine Cardiovascular Disease PECOS Enrolled

About DUNCAN WORMER

Duncan Wormer is an internal medicine provider established in Rochester, New York and his medical specialization is internal medicine (cardiovascular disease) . The NPI number of Duncan Wormer is 1245227776 and was assigned on September 2005. The practitioner's primary taxonomy code is 207RC0000X with license number 151006 (NY). The provider is registered as an individual and his NPI record was last updated 10 years ago.

An internist like Duncan D Wormer Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Duncan Wormer is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Duncan Wormer is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1245227776

Provider Name DUNCAN D WORMER MD
Provider Location Address601 ELMWOOD AVE ROCHESTER, NY 14642
Provider Mailing Address601 ELMWOOD AVE BOX 679B ROCHESTER, NY 14642
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-30-2005
Last Update Date08-29-2011


Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.151006
License StateNY
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

DUNCAN D WORMER MD
601 ELMWOOD AVE
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-6168
Fax: (585) 341-4213

Get Directions


Mailing Address

DUNCAN D WORMER MD
601 ELMWOOD AVE
BOX 679B
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-6168
Fax: (585) 341-4213



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 563Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 533Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 36Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • 29Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
B82326MEDICARE UPIN (02)
39085FMEDICARE PIN (08)NY
RB8074MEDICARE PIN (08)NY
00816399MEDICAID (05)NY
060049099MEDICARE PIN (08)NY
060033830MEDICARE PIN (08)NY
51138HMEDICARE PIN (08)NY

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154324317DR. MARC NORMAN BERLIANT MD
Individual
Internal Medicine601 ELMWOOD AVE BOX MED
ROCHESTER, NY 14642
(585) 275-3250
1497758528 DENISE BILSBACK ANP
Individual
Nurse Practitioner (Adult Health)601 ELMWOOD AVE BOX MED
ROCHESTER, NY 14642
(585) 275-7424
1821091950 LURA L DEVEAU ANP
Individual
Nurse Practitioner (Adult Health)601 ELMWOOD AVE BOX MED
ROCHESTER, NY 14642
(585) 275-7424
1437144433 DAVID E SEUBERT MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)601 ELMWOOD AVE
ROCHESTER, NY 14642
(585) 487-3350
1871581827 BRUCE I GOLDMAN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)601 ELMWOOD AVE BOX 626 URMC
ROCHESTER, NY 14642
(585) 273-3401
1326020249DR. MARTIN STUART ZAND MD, PHD
Individual
Internal Medicine (Nephrology)601 ELMWOOD AVE BOX 675
ROCHESTER, NY 14642
(585) 275-4517
1770569584 ELIZABETH A POWLEY NP
Individual
Nurse Practitioner (Family)601 ELMWOOD AVE
ROCHESTER, NY 14642
(585) 273-3760
1407834310 LAURA ANN CUSHMAN PHD
Individual
Clinical Neuropsychologist601 ELMWOOD AVE
ROCHESTER, NY 14642
(585) 275-3271
1285612184 KANAKADURGA R PODURI MD
Individual
Physical Medicine & Rehabilitation601 ELMWOOD AVE
ROCHESTER, NY 14642
(585) 275-3271
1306826219 FLAVIA NOBAY MD
Individual
Emergency Medicine601 ELMWOOD AVE BOX 655
ROCHESTER, NY 14642
(585) 341-3015
1790757599DR. DAWN M. SWEENEY
Individual
Anesthesiology601 ELMWOOD AVE BOX 604
ROCHESTER, NY 14642
(585) 275-2141
1326014770 KEVIN A WALTER MD
Individual
Neurological Surgery601 ELMWOOD AVE
ROCHESTER, NY 14642
(585) 276-3581
1689643025DR. RADHA R. IYER MD
Individual
Radiology (Diagnostic Radiology)601 ELMWOOD AVE
ROCHESTER, NY 14642
(585) 487-3319
1154390508DR. MARC S LAMPELL M.D.
Individual
Emergency Medicine (Pediatric Emergency Medicine)601 ELMWOOD AVE BOX 655
ROCHESTER, NY 14642
(585) 341-3015
1609835198DR. THOMAS PARK MD
Individual
Internal Medicine (Gastroenterology)601 ELMWOOD AVE BOX 646
ROCHESTER, NY 14642
(585) 275-4711
1710940788 WARREN C HAMMERT MD
Individual
Plastic Surgery601 ELMWOOD AVE
ROCHESTER, NY 14642
(585) 275-5117
1790748416 JENNIFER ANNE FLEEMAN PSYD
Individual
Clinical Neuropsychologist601 ELMWOOD AVE
ROCHESTER, NY 14642
(585) 275-3271
1609831221 CATHERINE WALL RNC,MS, WHNP
Individual
Obstetrics & Gynecology601 ELMWOOD AVE BOX 685
ROCHESTER, NY 14642
(585) 276-3212
1780649681 LISA ANN BECK M.D.
Individual
Dermatology601 ELMWOOD AVE
ROCHESTER, NY 14642
(585) 275-7546
1881651339DR. DEANNA LYNN GOHIL PHARM D
Individual
Pharmacist601 ELMWOOD AVE
ROCHESTER, NY 14642
(585) 275-1028

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.