1. Home
  2. Directory
  3. Texas
  4. Kerrville
  5. Internal Medicine
  6. NPI Profile

THOMAS EDWIN DUCKER MD
NPI 1295753887
Internal Medicine - Gastroenterology in Kerrville, TX

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
87.44/100
CMS Quality Rating
1001 WATER ST, STE D-200, KERRVILLE, TX 78028(830) 896-5005(830) 896-4747 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Edwin Ducker Md NPPES

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

THOMAS EDWIN DUCKER MD (NPI 1295753887) is an individual gastroenterology provider in Kerrville, Texas, licensed in Texas (H9895) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1988).

NPPES Registry Identity

NPI1295753887
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameTHOMAS EDWIN DUCKERCredential: MD
Location Address1001 WATER ST, STE D-200Kerrville, TX 78028-3566
Mailing Address1001 Water St, Ste D-200Kerrville, TX 78028-3566 · (830) 895-5005 · Fax (830) 896-4747
Phone(830) 896-5005
Fax(830) 896-4747
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1988
Enumeration DateJuly 18, 2006
Last NPPES UpdateDecember 4, 2018
✔ NPI 1295753887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · H9895
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1001 WATER ST, Kerrville, TX 78028
Open in Google Maps ↗

Other Identifiers 1

Medicaid136809405TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Edwin Ducker Md 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 ID2668632043
PECOS Enrollment IDI20120321000735
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
636 services344 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
248 services242 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
160 services158 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
145 services138 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
118 services97 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
83 services83 patients

Hospital Affiliations CMS Care Compare

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78028 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality75.14
Improvement Activities40
Cost91.28

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
10%20 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
81%334 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
64%42 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%1,180 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%703 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%840 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 300 patients
Patients screened: 92% · 300 patients
13%24 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%236 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 511 patients
Patients totalRate: 4% · 512 patients
4%512 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JON SIBERT DC PA
Chiropractor
1001 WATER ST, SUITE D200
KERRVILLE, TN 78028
Kerr County (830) 792-6600
FIDELIS ANESTHESIA SERVICES, PLLC
Nurse Anesthetist, Certified Registered
1001 WATER ST, SUITE C100
KERRVILLE, TX 78028
Kerr County (830) 896-2444
KERRVILLE AMBULATORY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1001 WATER ST, UNIT C
KERRVILLE, TX 78028
Kerr County (830) 896-2444
DR. RUSSELL S CRAVEY M.D.
Ophthalmology
1001 WATER ST, STE. E100
KERRVILLE, TX 78028
Kerr County (830) 257-4417
DOUGLAS E WRIGHT, MD, PA
Specialist
1001 WATER ST, SUITE E200
KERRVILLE, TX 78028
Kerr County (830) 257-6633
KERRVILLE EYE CENTER PA
Specialist
1001 WATER ST, STE E100
KERRVILLE, TX 78028
Kerr County (830) 257-4417
FIDELIS ANESTHESIA SERVICES
Nurse Anesthetist, Certified Registered
1001 WATER ST, SUITE C100
KERRVILLE, TX 78028
Kerr County (830) 896-2444
DAVID C JONES MD PA
Radiology (Radiation Oncology)
1001 WATER ST, STE J-100
KERRVILLE, TX 78028
Kerr County (830) 257-3131

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 Thomas Ducker's NPI number?

The NPI number for Thomas Ducker is 1295753887. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Thomas Ducker located?

Thomas Ducker practices at 1001 Water St Ste D-200, Kerrville, TX 78028. The listed phone number is (830) 896-5005.

What is Thomas Ducker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thomas Ducker enrolled in Medicare?

Yes. Thomas Ducker 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.

What insurance does Thomas Ducker accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Thomas Ducker 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 Thomas Ducker affiliated with any hospitals?

According to CMS data, Thomas Ducker is affiliated with Peterson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Ducker was last updated on December 4, 2018. 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.