WILLIAM DUGE MD NPI 1275535700
Radiology - Diagnostic Radiology in Saint Helena, CA

Individual Male Years of Experience 44 Radiology Diagnostic Radiology PECOS Enrolled May Accept Medicare Approved Payment MIPS Quality Score 30 Medicare Quality Reporting

About WILLIAM DUGE MD

William Duge is a provider established in Saint Helena, California and his medical specialization is Radiology with a focus in diagnostic radiology with more than 44 years of experience. He graduated from Loma Linda University School Of Medicine in 1979. The NPI number of William Duge is 1275535700 and was assigned on August 2005. The practitioner's primary taxonomy code is 2085R0202X with license number G40998 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1275535700
Provider Name WILLIAM DUGE MD
Provider Location Address10 WOODLAND RD SAINT HELENA, CA 94574
Provider Mailing AddressPO BOX 3222 NAPA, CA 94558
GenderMale
NPI Entity TypeIndividual
Medical School NameLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1979
Is Sole Proprietor?No
Enumeration Date08-15-2005
Last Update Date04-09-2012

William Duge is enrolled in PECOS and is eligible to order or refer health care 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.

William Duge is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with Sutter Lakeside Hospital, Sonoma Valley Hospital, Adventist Health Howard Memorial, Adventist Health Clearlake and Adventist Health St Helena.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: .



Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.G40998
License StateCA
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

WILLIAM DUGE MD
10 WOODLAND RD
SAINT HELENA, CA
ZIP 94574
Phone: (707) 261-7821
Fax: (707) 256-3508

Get Directions


Mailing Address

WILLIAM DUGE MD
PO BOX 3222
NAPA, CA
ZIP 94558
Phone: (707) 261-7821
Fax: (707) 256-3508


PECOS Enrollment and Medicare Participation

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.

Registered in PECOS? Yes
PECOS PAC ID5991720336
PECOS Enrollment IDI20051013000997
Accepts Medicare Assignment? Maybe "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% N/A
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 30
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

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.

  • 2191X-ray of chest, 1 view, front (HCPCS:71010)
  • 776X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 204CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 175CT scan of abdomen and pelvis (HCPCS:74176)
  • 171X-ray of knee, 3 views (HCPCS:73562)
  • 152Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 150X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 145X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 101X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 95X-ray of abdomen, single view (HCPCS:74000)
  • 88Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 86X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 83Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • 60Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • 58X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 38Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • 37Ultrasound of head and neck (HCPCS:76536)
  • 36Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • 19X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • 18Bone and/or joint imaging, whole body (HCPCS:78306)
  • 17Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • 15Ultrasound pelvis through vagina (HCPCS:76830)
  • 14Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • 11Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. William Duge is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SUTTER LAKESIDE HOSPITAL5176 HILL ROAD EAST
LAKEPORT, CA 95453
(707) 262-5000Critical Access Hospitals51329
SONOMA VALLEY HOSPITAL347 ANDRIEUX ST
SONOMA, CA 95476
(707) 935-5000Acute Care Hospitals50090
ADVENTIST HEALTH HOWARD MEMORIAL1 MARCELA DR
WILLITS, CA 95490
(707) 456-3031Critical Access Hospitals51310
ADVENTIST HEALTH CLEARLAKE15630 18TH AVE - HWY 53
CLEARLAKE, CA 95422
(707) 994-6486Critical Access Hospitals51317
ADVENTIST HEALTH ST HELENA10 WOODLAND ROAD
SAINT HELENA, CA 94574
(707) 963-3611Acute Care Hospitals50013

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
00G409980MEDICAID (05)CA
00G409980MEDICARE PIN (08)
A48426MEDICARE UPIN (02)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275535700
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451031070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 0 + 3 + 1 + 0 + 7 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1275535700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1104812585DR. HIROFUMI HASHIMOTO MD
Individual
Internal Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6399
1619950193 EDWARD STUMP M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6311
1033192547 DAN CLAY M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6311
1174507552 EDWIN CARLSON M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-3611
1912981382 GARY MISHKIN M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-3611
1508840513 JOSE RENE MIRANDA M.D.
Individual
Emergency Medicine10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-3611
1851355705 ANDREW DEMETRIUS HORPENIUK M.D., M.P.H.
Individual
Preventive Medicine (Occupational Medicine)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6491
1083679781DR. DAVID R RACKER M.D.
Individual
Radiology (Diagnostic Radiology)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6430
1659320703DR. ETHAN DALIERE SCHRAM M.D.
Individual
Internal Medicine (Medical Oncology)10 WOODLAND RD MARTIN-O'NEIL CANCER CENTER
SAINT HELENA, CA 94574
(707) 967-5721
1336194497RCOA-ADVENTIST HEALTH, LLC
Organization
Clinic/Center (Radiology, Mobile)10 WOODLAND RD
SAINT HELENA, CA 94574
(866) 293-3500
1922020221 DAVID KIM M.D.
Individual
Hospitalist10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6399
1205859683 DIANE LYNN HAMBRICK M.D.
Individual
Family Medicine (Addiction Medicine)10 WOODLAND RD ST. HELENA HOSPITAL
SAINT HELENA, CA 94574
(707) 967-5720
1689778987DR. STEVEN CARLTON HERBER MD
Individual
Surgery (Plastic and Reconstructive Surgery)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 967-5981
1962508960 CAROL L ISAACS MD
Individual
Dermatology10 WOODLAND RD LLOYD BLDG STE 501
ST HELENA, CA 94574
(707) 963-5450
1386856888 JOANNE HATCH R.D.
Individual
Dietitian, Registered10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6218
1730396433 MAILE SHUBIN
Individual
Dietitian, Registered10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-3218
1558578013 PETRA SCHLENKE R.D.
Individual
Dietitian, Registered10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6432
1013117977DR. GEOFFREY WILLIAM HORN DO
Individual
Radiology (Diagnostic Radiology)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6430
1174793574ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Organization
Psychiatry & Neurology (Neurology)10 WOODLAND RD SUITE 502
SAINT HELENA, CA 94574
(707) 963-1882
1467786400 DAVID F. JADWIN D.O.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)10 WOODLAND RD
SAINT HELENA, CA 94574
(707) 963-6483

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
William Duge Md is registered as an entity type code: 1. The entity type code describes 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.