DUANE ALLEN
NPI 1285021683
Internal Medicine - Pulmonary Disease in Cincinnati, OH

Q: What is Duane Allen's NPI number?

The NPI number for Duane Allen is 1285021683. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Q: What is Duane Allen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Duane Allen was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 23, 2015PECOS EnrolledAccepts Medicare Assignment

2123 AUBURN AVE, CINCINNATI, OH 45219(513) 241-5489(513) 241-5490 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2022, Nov 11, 2021, Nov 4, 2021 (3 updates tracked since 2021).

On this page

About Duane Allen NPPES

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

DUANE ALLEN (NPI 1285021683) is an individual pulmonary disease provider in Cincinnati, Ohio, licensed in Ohio (35.145136) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285021683

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDUANE ALLEN

Location Address2123 AUBURN AVECincinnati, OH 45219-2906

Mailing Address2123 Auburn AveCincinnati, OH 45219-2906 · (513) 241-5489 · Fax (513) 241-5490

Phone(513) 241-5489

Fax(513) 241-5490

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2015

Enumeration DateApril 23, 2015

Last NPPES UpdateJuly 7, 20223 updates tracked since enumeration

NPPES CertifiedJuly 7, 2022

✔ NPI 1285021683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OH · 35.145136

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2123 AUBURN AVE, Cincinnati, OH 45219

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11120 W Michigan St Rm 626Indianapolis, IN 46202-5209 · Phone (317) 278-2694

Location 2720 Eskenazi AveIndianapolis, IN 46202-5187 · Phone (317) 880-7666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Duane Allen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062724123

PECOS Enrollment IDI20180607002148, I20220725001467, I20221102000669

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 Duane Allen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Christ Hospital Medical Associates, LLC

0.1 mi

Internal Medicine

2139 AUBURN AVE
Cincinnati, OH 45219

Reassigned Medicare billing, Indiana, Kentucky and Ohio enrollments
10 clinicians in this Medicare group

NPI 1114107919 (513) 351-9900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

164 services86 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

154 services102 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.

147 services59 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

111 services70 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

85 services85 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

47 services47 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

44 services44 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

44 services44 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

44 services44 patients

Test to examine how well the lungs exchange gases 94729

44 services44 patients

Test to determine lung volumes using sensors 94726

43 services43 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

41 services39 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

39 services39 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

29 services29 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

15 services15 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

12 services12 patients

Aspiration of initial secretion of lung airway using an endoscope 31645

This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151329

Location321 Mitchell AveBatesville, IN 47006 · Franklin County

Emergency services

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360001

Location7500 State RoadCincinnati, OH 45255 · Hamilton County

Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers13 claims13 services$5.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. KIRANMAYEE LANKA M.D., M.P.H

Internal Medicine (Critical Care Medicine)

2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219

Hamilton County (513) 241-5489

NOEMI CLEOFAS RICO-CEPPI MD

Family Medicine

2123 AUBURN AVE
CINCINNATI, OH 45219

Hamilton County (513) 585-3238

EUGENE CHUNG M.D.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

2123 AUBURN AVE, SU. 137
CINCINNATI, OH 45219

Hamilton County (513) 206-1180

DR. REID ARTHUR HARTMANN M.D.

Family Medicine

2123 AUBURN AVE, SUITE 235
CINCINNATI, OH 45219

Hamilton County (513) 585-3238

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219

Hamilton County (513) 381-5227

JILL GAST APRN.CNP

Nurse Practitioner (Family)

2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219

Hamilton County (513) 241-4223

YOLANDA DANIELA FARHEY M.D.

Internal Medicine (Rheumatology)

2123 AUBURN AVE, STE 630
CINCINNATI, OH 45219

Hamilton County (513) 585-1970

BRIAN REVIS MD

Internal Medicine (Nephrology)

2123 AUBURN AVE, STE 404
CINCINNATI, OH 45219

Hamilton County (513) 241-5630

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 Duane Allen's NPI number?

The NPI number for Duane Allen is 1285021683. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Duane Allen located?

Duane Allen practices at 2123 Auburn Ave, Cincinnati, OH 45219. The listed phone number is (513) 241-5489.

What is Duane Allen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Duane Allen enrolled in Medicare?

Yes. Duane Allen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Duane Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Duane Allen reassigns Medicare benefits to The Christ Hospital Medical Associates, LLC (Cincinnati, OH). 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 Duane Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Duane Allen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Duane Allen 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.

Is Duane Allen affiliated with any hospitals?

According to CMS data, Duane Allen is affiliated with Margaret Mary Community Hospital Inc, Mercy Health-Anderson Hospital and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Duane Allen was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.