STANLEY MATHIAS DUCHMAN M.D.
NPI 1407810377
Internal Medicine - Interventional Cardiology in Houston, TX

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
87.35/100
CMS Quality Rating
6560 FANNIN ST, STE 620, HOUSTON, TX 77030(713) 791-1978(713) 791-1870 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2021, Mar 17, 2018, Jul 18, 2017 (3 updates tracked since 2017).

About Stanley Mathias Duchman M.d. NPPES

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

STANLEY MATHIAS DUCHMAN M.D. (NPI 1407810377) is an individual interventional cardiology provider in Houston, Texas, licensed in Texas (J8524) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1407810377
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSTANLEY MATHIAS DUCHMANCredential: M.D.
Location Address6560 FANNIN ST, STE 620Houston, TX 77030-2725
Mailing Address6560 Fannin St Ste 620Houston, TX 77030-2725 · (713) 791-1978 · Fax (713) 791-1870
Fax(713) 791-1870
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateApril 17, 2006
Last NPPES UpdateSeptember 20, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1407810377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · J8524
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
6560 FANNIN ST, Houston, TX 77030

Secondary Practice Location 1

Location 17010 Champions Plaza Dr Ste 200Houston, TX 77069-2393 · Phone (281) 890-4848

Other Identifiers 2

OtherJ8524TX · Physician License
Medicaid113615808TX

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

Stanley Mathias Duchman 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 ID42231508
PECOS Enrollment IDI20051212000680
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 27

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.

Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
2,569 services642 patients
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.
2,143 services1,113 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
939 services855 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
821 services797 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
721 services716 patients
Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431
This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.
586 services586 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

87.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.7
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
62%986 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
51%190 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%4,728 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%1,700 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
20%1,836 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,443 patients
Patients screened: 99% · 1,443 patients
84%95 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,782 patients
Patients totalRate: 1% · 1,782 patients
1%1,782 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$36.62 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.

Nurse Practitioner
6560 FANNIN ST, STE 1260
HOUSTON, TX 77030
Ophthalmology
6560 FANNIN ST, STE 750
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN ST, STE 802
HOUSTON, TX 77030
Internal Medicine
6560 FANNIN ST, SUITE 1012
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
6560 FANNIN ST, SUITE 1540
HOUSTON, TX 77030
Physician Assistant
6560 FANNIN ST, SUITE 1842
HOUSTON, TX 77030
Surgery
6560 FANNIN ST, STE 1608
HOUSTON, TX 77030
Internal Medicine
6560 FANNIN ST, SUITE 1112
HOUSTON, TX 77030

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 Stanley Duchman's NPI number?

The NPI number for Stanley Duchman is 1407810377. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Stanley Duchman located?

Stanley Duchman practices at 6560 Fannin St Ste 620, Houston, TX 77030. The listed phone number is (713) 791-1978.

What is Stanley Duchman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Stanley Duchman enrolled in Medicare?

Yes. Stanley Duchman 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 Stanley Duchman accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Stanley Duchman 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 Stanley Duchman affiliated with any hospitals?

According to CMS data, Stanley Duchman is affiliated with Houston Methodist Hospital, Houston Methodist Baytown Hospital and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Stanley Duchman was last updated on September 20, 2021. 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.