DR. DUANE STOPP DUKE M.D.
NPI 1295928992
Surgery - Pediatric Surgery in Wilmington, DE
About Dr. Duane Stopp Duke M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DUANE STOPP DUKE M.D. (NPI 1295928992) is an individual pediatric surgery provider in Wilmington, Delaware, licensed in Delaware (C1-0026192) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Duane Stopp Duke M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Duane Duke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, DE 19803
- Reassigned Medicare billing, Delaware enrollment
- 526 clinicians in this Medicare group
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
Norfolk, VA 23507
- Reassigned Medicare billing, Virginia enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
WILMINGTON, DE 19803
WILMINGTON, DE 19803
WILMINGTON, DE 19803
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 Duke's NPI number?
The NPI number for Duane Duke is 1295928992. It was assigned to this individual provider in the NPPES registry on August 26, 2007.
Where is Duane Duke located?
Duane Duke practices at 1600 Rockland Rd, Wilmington, DE 19803. The listed phone number is (302) 651-4200.
What is Duane Duke's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Duane Duke enrolled in Medicare?
Yes. Duane Duke is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Duane Duke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Duane Duke reassigns Medicare benefits to 3 organizations: The Nemours Foundation (Wilmington, DE), University Of Virginia Physicians Group (Charlottesville, VA) and Children's Surgical Specialty Group, Inc (Norfolk, VA). Each 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 Duke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Duane Duke accept?
Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Duane Duke 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.
When was this NPI record last updated?
The NPPES record for Duane Duke was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.