MICHAEL CRAIG DUFFEY M.D.
NPI 1417134248
Dermatology in Lancaster, OH

Active since January 23, 2008PECOS EnrolledAccepts Medicare Assignment
90.65/100
CMS Quality Rating
112 N EWING ST, LANCASTER, OH 43130(740) 641-3477(740) 687-1661 Get Directions Write a Review

NPPES record last updated: February 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Craig Duffey M.d. NPPES

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

MICHAEL CRAIG DUFFEY M.D. (NPI 1417134248) is an individual dermatology provider in Lancaster, Ohio, licensed in Ohio (088246) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (2002).

NPPES Registry Identity

NPI1417134248
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMICHAEL CRAIG DUFFEYCredential: M.D.
Location Address112 N EWING STLancaster, OH 43130-3307
Mailing Address112 N Ewing StLancaster, OH 43130-3307 · (740) 641-3477 · Fax (740) 687-1661
Fax(740) 687-1661
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2002
Enumeration DateJanuary 23, 2008
Last NPPES UpdateFebruary 19, 2010
NPI 1417134248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OH · 088246
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
112 N EWING ST, Lancaster, OH 43130

Other Identifiers 3

Medicaid2996558OH
OtherP00740465OH · Medicare Railroad
Medicare PINDU4268752OH

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

Michael Craig Duffey 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 ID9638224389
PECOS Enrollment IDI20090901000348
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 17

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 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.
849 services667 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
560 services182 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
337 services272 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
229 services196 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
170 services157 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
150 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability89
Improvement Activities40

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.

Dermatology
112 N EWING ST
LANCASTER, OH 43130
Obstetrics & Gynecology
112 N EWING ST
LANCASTER, OH 43130
Specialist
112 N EWING ST
LANCASTER, OH 43130
Advanced Practice Midwife
112 N EWING ST
LANCASTER, OH 43130

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 Michael Duffey's NPI number?

The NPI number for Michael Duffey is 1417134248. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Michael Duffey located?

Michael Duffey practices at 112 N Ewing St, Lancaster, OH 43130. The listed phone number is (740) 641-3477.

What is Michael Duffey's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michael Duffey enrolled in Medicare?

Yes. Michael Duffey 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 Michael Duffey accept?

Health plans from MedMutual and Oscar Health Insurance list Michael Duffey 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 Michael Duffey affiliated with any hospitals?

According to CMS data, Michael Duffey is affiliated with Fairfield Medical Center and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Duffey was last updated on February 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.