LORETTA DUGGAN M.D.
NPI 1376809665
Family Medicine in Athens, GA

Active since April 11, 2012PECOS Enrolled
740 PRINCE AVE STE 12A, ATHENS, GA 30606(706) 623-8098 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Loretta Duggan M.d. NPPES

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

LORETTA DUGGAN M.D. (NPI 1376809665) is an individual family medicine provider in Athens, Georgia, licensed in Georgia (78767) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376809665
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLORETTA DUGGANCredential: M.D.
Location Address740 PRINCE AVE STE 12AAthens, GA 30606-5906
Mailing Address1720 Epps Bridge Pkwy Ste 108, Box 348Athens, GA 30606 · (706) 623-8098
Sole ProprietorYes
Enumeration DateApril 11, 2012
Last NPPES UpdateMay 27, 20242 updates tracked since enumeration
NPPES CertifiedMay 27, 2024
NPI 1376809665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 78767
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.
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License 78767 (GA)
740 PRINCE AVE STE 12A, Athens, GA 30606

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 (PECOS)

Loretta Duggan M.d. 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.

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.

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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims41 services$6.08 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
3 suppliers23 claims23 services$183.76 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

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

Family Medicine
740 PRINCE AVE STE 12A
ATHENS, GA 30606

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 Loretta Duggan's NPI number?

The NPI number for Loretta Duggan is 1376809665. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Loretta Duggan located?

Loretta Duggan practices at 740 Prince Ave Ste 12A, Athens, GA 30606. The listed phone number is (706) 623-8098.

What is Loretta Duggan's specialty?

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

Is Loretta Duggan enrolled in Medicare?

Yes. Loretta Duggan is registered in the Medicare PECOS enrollment system.

What insurance does Loretta Duggan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Loretta Duggan 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.

When was this NPI record last updated?

The NPPES record for Loretta Duggan was last updated on May 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.