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NICHOLAS SHANE DUCA M.D.
NPI 1356683684
Internal Medicine in Hershey, PA

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8161(717) 531-7726 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

About Nicholas Shane Duca M.d. NPPES

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

NICHOLAS SHANE DUCA M.D. (NPI 1356683684) is an individual internal medicine provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD457060) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1356683684
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS SHANE DUCACredential: M.D.
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Phone(717) 531-8161
Fax(717) 531-7726
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 25, 2013
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1356683684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD457060
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
500 UNIVERSITY DR, Hershey, PA 17033
Open in Google Maps ↗

Other Identifiers 2

Other575177PA · Pa Medicare
Medicaid103298729PA

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

Nicholas Shane Duca 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 ID9032336052
PECOS Enrollment IDI20170607000830
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 3

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.
95 services69 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.
93 services84 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
92 services55 patients

Hospital Affiliations CMS Care Compare

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims7,248 services$0.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$82.08 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.91 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$185.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. DANIEL MICHAEL WEISS I PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-7299
NICOLE SWALLOW M.D.
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Dauphin County (717) 531-1692
NEERAV GOYAL M.D.
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KARIMA C FITZGERALD M.D.
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8887
DR. ANTHONY SIMON BONAVIA M.D.
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. HIROKO SHIKE MD
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Dauphin County (717) 531-8615
MARIUM TARIQ M.D.
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KANTHI BANGALORE KRISHNA MBBS
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

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 Nicholas Duca's NPI number?

The NPI number for Nicholas Duca is 1356683684. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Nicholas Duca located?

Nicholas Duca practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8161.

What is Nicholas Duca's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Duca enrolled in Medicare?

Yes. Nicholas Duca 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.

Is Nicholas Duca affiliated with any hospitals?

According to CMS data, Nicholas Duca is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Duca was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.