JOHN MATTHEW DUCEY M.D.
NPI 1346507423
Family Medicine in Nashville, TN

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment
397 WALLACE RD STE 100, NASHVILLE, TN 37211(615) 834-6166 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Matthew Ducey M.d. NPPES

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

JOHN MATTHEW DUCEY M.D. (NPI 1346507423) is an individual family medicine provider in Nashville, Tennessee, licensed in Tennessee (53120) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of University Of Massachusetts Medical School (2012).

NPPES Registry Identity

NPI1346507423
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN MATTHEW DUCEYCredential: M.D.
Location Address397 WALLACE RD STE 100Nashville, TN 37211-8025
Mailing Address397 Wallace Rd Ste 100Nashville, TN 37211-8025 · (615) 834-6166
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2012
Enumeration DateApril 13, 2012
Last NPPES UpdateJuly 20, 2015
NPI 1346507423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 53120
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
397 WALLACE RD STE 100, Nashville, TN 37211

Accepted 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

John Matthew Ducey 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 ID6507187440
PECOS Enrollment IDI20151014003312
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 8

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 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.
145 services100 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
128 services128 patients
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.
90 services64 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
23 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services17 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Williamson Medical Center

Acute Care Hospitals · Franklin, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440029
Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County
Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Tristar Southern Hills Medical Center

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440197
Location391 Wallace RdNashville, TN 37211 · Davidson County
Emergency services

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440227
Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37211 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
397 WALLACE RD STE 100
NASHVILLE, TN 37211
Family Medicine
397 WALLACE RD STE 100
NASHVILLE, TN 37211
Nurse Practitioner (Primary Care)
397 WALLACE RD STE 100
NASHVILLE, TN 37211
Nurse Practitioner (Family)
397 WALLACE RD STE 100
NASHVILLE, TN 37211

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 John Ducey's NPI number?

The NPI number for John Ducey is 1346507423. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is John Ducey located?

John Ducey practices at 397 Wallace Rd Ste 100, Nashville, TN 37211. The listed phone number is (615) 834-6166.

What is John Ducey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Ducey enrolled in Medicare?

Yes. John Ducey 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 John Ducey accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list John Ducey 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 John Ducey affiliated with any hospitals?

According to CMS data, John Ducey is affiliated with Williamson Medical Center, Tristar Summit Medical Center, Tristar Southern Hills Medical Center and Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for John Ducey was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.