VALERIA E DUARTE M.D.
Accepted Insurance for NPI 1295041663
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since August 24, 2010PECOS EnrolledAccepts Medicare Assignment

6550 FANNIN ST STE 1901, HOUSTON, TX 77030(713) 441-1100 Get Directions

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2026, Sep 12, 2018 (2 updates tracked since 2018).

Does Dr. Duarte take my insurance?

WellPoint includes Dr. Duarte in 21 Texas plans sold on HealthCare.gov for 2026.

InsurerWellPoint 21 plans

Call before you book: insurer directories can be out of date, so call the office at (713) 441-1100 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Texas plans 21 plans

Plans sold to Texas residents. Costs are for the standard version of each plan.

WellPoint

21 plans · HMO, POS

Accepting new patients

Wellpoint Texas Essential and RX Choice Tiered Network · 13 plans · Participating tier

Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$70047501TX0030007

Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$80047501TX0040009

Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00047501TX0030005

Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$1,50047501TX0040007

Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$1,85047501TX0040011

Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$2,50047501TX0030008

Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$3,50047501TX0040012

Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$4,00047501TX0030009

Wellpoint Essential Bronze 4000 HSA (+ Incentives)HMOExpanded Bronze$4,00047501TX0040002

Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$4,50047501TX0030003

Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$5,50047501TX0030002

Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$6,00047501TX0040004

Wellpoint Essential Catastrophic (+ Incentives)HMOCatastrophic$10,60047501TX0040006

Wellpoint Texas Essential and Pharmacy Base Network · 6 plans · Participating tier

Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$2,00047501TX0040008

Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00047501TX0030006

Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$6,00047501TX0040013

Wellpoint Essential Silver POS 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00047501TX0030001

Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$7,50047501TX0040005

Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50047501TX0030004

Wellpoint Texas Essential, Dental Prime, and RX Choice Tiered Network · 2 plans · Participating tier

Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$3,50047501TX0040010

Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs)HMOExpanded Bronze$6,00047501TX0040003

Questions about Dr. Duarte’s insurance

Does Dr. Duarte take WellPoint?

For Texas Marketplace plans, yes: WellPoint includes Dr. Duarte in 21 plans for 2026. Call the office at (713) 441-1100 to confirm your plan before booking.

Is Dr. Duarte accepting new patients?

The insurers that list Dr. Duarte report that Dr. Duarte is accepting new patients. Call the office at (713) 441-1100 to confirm your plan before booking.

Do I need a referral to see Dr. Duarte?

Not under the Texas plans that list Dr. Duarte: the 2026 plan files say a specialist referral is not required.

Does Dr. Duarte accept Medicare?

Yes. CMS files show Dr. Duarte accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	WellPoint: Oct 15, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.