DR. THERESE M DUANE M.D.
NPI 1427131598
Surgery - Surgical Critical Care in Portsmouth, VA
About Dr. Therese M Duane M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THERESE M DUANE M.D. (NPI 1427131598) is an individual surgical critical care provider in Portsmouth, Virginia, licensed in Virginia (0101054359) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Therese M Duane M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Therese Duane reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 1,058 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 clinicians in this Medicare group
Boise, ID 83706
- Reassigned Medicare billing, Idaho enrollment
- 781 clinicians in this Medicare group
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.
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.
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
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 Therese Duane's NPI number?
The NPI number for Therese Duane is 1427131598. It was assigned to this individual provider in the NPPES registry on October 23, 2006.
Where is Therese Duane located?
Therese Duane practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-5000.
What is Therese Duane's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Therese Duane enrolled in Medicare?
Yes. Therese Duane is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Therese Duane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Therese Duane reassigns Medicare benefits to 3 organizations: Integris Ambulatory Care Corporation (Oklahoma City, OK), Acclaim Physician Group, Inc (Fort Worth, TX) and Saint Alphonsus Regional Medical Center Inc (Boise, ID). 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 Therese Duane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Therese Duane accept?
Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica and Molina Healthcare list Therese Duane 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 Therese Duane was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Therese M Duane, M.D. · NPI 1427131598
Surgical Critical Care physician in Portsmouth, Virginia. Individual provider, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1427131598 (Entity type: Individual)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 0101054359 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 JOHN PAUL JONES CIR, Portsmouth, VA 23708-2111
- **Phone:** (757) 953-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Integris Ambulatory Care Corporation (NPI 1750333936, Oklahoma City, OK); Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX); Saint Alphonsus Regional Medical Center Inc (NPI 1649357716, Boise, ID) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1427131598) · Data from the CMS NPPES public registry.