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CHARLES J DUFFY MD, PHD
NPI 1376578179
Psychiatry & Neurology - Neurology in Hershey, PA

Active since July 11, 2006PECOS Enrolled
79.48/100
CMS Quality Rating
30 HOPE DRIVE, HERSHEY, PA 17033(717) 531-3828(717) 531-0465 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Charles J Duffy Md, Phd NPPES

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

CHARLES J DUFFY MD, PHD (NPI 1376578179) is an individual neurology provider in Hershey, Pennsylvania, licensed in New York (194405) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376578179
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameCHARLES J DUFFYCredential: MD, PHD
Location Address30 HOPE DRIVEHershey, PA 17033-0858
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455 · Fax (717) 531-4694
Phone(717) 531-3828
Fax(717) 531-0465
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateSeptember 30, 2019
✔ NPI 1376578179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 194405
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
30 HOPE DRIVE, Hershey, PA 17033
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Other Identifiers 1

Medicaid01658593NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles J Duffy Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Duffy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Rochester
203 mi
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100
University Hospitals Medical Group Inc
273 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
352 services196 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
104 services104 patients

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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

JOSHUA GALINATO CRNP
Nurse Practitioner (Adult Health)
30 HOPE DRIVE, SUITE 2400
HERSHEY, PA 17033
Dauphin County (800) 243-1455
SAMANTHA LYNN AKSU PA-C
Physician Assistant (Surgical)
30 HOPE DRIVE, BUILDING B SUITE 1200
HERSHEY, PA 17033
Dauphin County (717) 531-3828
DIANA DEE HILLAM ARNP
Nurse Practitioner
30 HOPE DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-3828
ROBERT GERARD KELLY PT, ATC
Physical Therapist
30 HOPE DRIVE, MC EC 130
HERSHEY, PA 17033
Dauphin County (717) 531-8070

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 Charles Duffy's NPI number?

The NPI number for Charles Duffy is 1376578179. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Charles Duffy located?

Charles Duffy practices at 30 Hope Drive, Hershey, PA 17033. The listed phone number is (717) 531-3828.

What is Charles Duffy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Charles Duffy enrolled in Medicare?

Yes. Charles Duffy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Duffy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Duffy reassigns Medicare benefits to 2 organizations: University Of Rochester (Rochester, NY) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Charles Duffy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Duffy was last updated on September 30, 2019. 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.