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SETH DUKES M.D,
NPI 1316258221
Internal Medicine - Gastroenterology in Bethesda, MD

Active since June 24, 2010PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
4494 PALMER RD N, DEPT OF GASTROENTEROLOGY, BETHESDA, MD 20814(301) 295-4000 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2021, Jan 17, 2020 (2 updates tracked since 2020).

About Seth Dukes M.d, NPPES

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

SETH DUKES M.D, (NPI 1316258221) is an individual gastroenterology provider in Bethesda, Maryland, licensed in Virginia (0101252165) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and is a graduate of Howard University College Of Medicine (2010).

NPPES Registry Identity

NPI1316258221
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSETH DUKESCredential: M.D,
Location Address4494 PALMER RD N, DEPT OF GASTROENTEROLOGYBethesda, MD 20814
Mailing Address4494 Palmer Rd N, Dept Of GastroenterologyBethesda, MD 20814 · (301) 295-4000
Phone(301) 295-4000
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2010
Enumeration DateJune 24, 2010
Last NPPES UpdateAugust 30, 20242 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1316258221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in VA · 0101252165✔ Licensed in DC · MD210001373
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101252165 (VA)
4494 PALMER RD N, Bethesda, MD 20814
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare.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

Seth Dukes M.d, 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 ID8123304821
PECOS Enrollment IDI20171220002191, I20210824000037
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 2

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.
36 services24 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210003
Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County
Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

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.

LYNN ANNE NASH PHD, RN, PHCNS-BC
Registered Nurse (Community Health)
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (301) 295-4512
JENNIFER MARIE SABINO M.D.
Surgery (Plastic and Reconstructive Surgery)
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (301) 295-4000
JANINE FARAJ MD
General Practice
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (480) 452-2460
DR. TORI SMITH MD
General Practice
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (301) 295-4000
JENNY HELD MD
Surgery (Surgical Oncology)
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (215) 208-2828
DR. SHAWN JAMISON MILLER M.D.
Internal Medicine (Allergy & Immunology)
4494 PALMER RD N
BETHESDA, MD 20814
Montgomery County (301) 295-9046
DR. RYAN KELLY MACVICAR MD
Military Health Care Provider
4494 PALMER RD N, BLDG 19
BETHESDA, MD 20814
Montgomery County (301) 295-1795
GENESIS JAMES
Military Health Care Provider
4494 PALMER RD N
APO, AA 20814
Montgomery County (301) 295-4000

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 Seth Dukes's NPI number?

The NPI number for Seth Dukes is 1316258221. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Seth Dukes located?

Seth Dukes practices at 4494 Palmer Rd N Dept Of Gastroenterology, Bethesda, MD 20814. The listed phone number is (301) 295-4000.

What is Seth Dukes's specialty?

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

Is Seth Dukes enrolled in Medicare?

Yes. Seth Dukes 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 Seth Dukes accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Seth Dukes 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 Seth Dukes affiliated with any hospitals?

According to CMS data, Seth Dukes is affiliated with University Of MD Capital Region Medical Center and Augusta Health.

When was this NPI record last updated?

The NPPES record for Seth Dukes was last updated on August 30, 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.