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DR. MARC PAUL DUHAIME D.O.
NPI 1376782789
Obstetrics & Gynecology in Philadelphia, PA

Active since February 09, 2009PECOS EnrolledAccepts Medicare Assignment
59.9/100
CMS Quality Rating
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3133(215) 707-3133 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 13, 2026, Sep 23, 2020 (2 updates tracked since 2020).

About Dr. Marc Paul Duhaime D.o. NPPES

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

DR. MARC PAUL DUHAIME D.O. (NPI 1376782789) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in New Hampshire (14495) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Holy Redeemer Hospital And Medical Center, and maintains a secondary practice location in Langhorne.

NPPES Registry Identity

NPI1376782789
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARC PAUL DUHAIMECredential: D.O.
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105 · (215) 707-3133
Phone(215) 707-3133
Fax(215) 707-3133
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2005
Enumeration DateFebruary 9, 2009
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1376782789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NH · 14495✔ Licensed in PA · OS022955
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3401 N BROAD ST, Philadelphia, PA 19140
Open in Google Maps ↗

Secondary Practice Location 1

Location 11203 Langhorne Newtown Rd, Ste 336Langhorne, PA 19047-1209 · Phone (215) 322-5042 · Fax (215) 322-5043

Other Identifiers 1

Medicaid3071409NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Marc Paul Duhaime D.o. 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 ID5698814440
PECOS Enrollment IDI20231208001647
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

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.
27 services14 patients

Hospital Affiliations CMS Care Compare

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

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

59.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality23.91
Promoting Interoperability88
Improvement Activities20
Cost60.75

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.

DR. JAMIE L. GARFIELD MD
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864
ELIZABETH DIANE DAUER MD
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3133
MARIA ESTHER ESCORCIA DE LEON M.D.
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-1622
JEONGAE YOON M.D.
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3326
DR. SUSETE CARNEIRO M.D.
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (201) 317-3485
DR. SARAH DENISE FENERTY M.D.
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-7237
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-4233
EDUARDO DOMINGUEZ CASTILLO M.D.
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864

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 Marc Duhaime's NPI number?

The NPI number for Marc Duhaime is 1376782789. It was assigned to this individual provider in the NPPES registry on February 9, 2009.

Where is Marc Duhaime located?

Marc Duhaime practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3133.

What is Marc Duhaime's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Marc Duhaime enrolled in Medicare?

Yes. Marc Duhaime 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 Marc Duhaime accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and MercyCare Health Plans list Marc Duhaime 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 Marc Duhaime affiliated with any hospitals?

According to CMS data, Marc Duhaime is affiliated with Holy Redeemer Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Duhaime was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.