DR. DANIEL MICHAEL DUFFY M.D.
NPI 1437139573
Obstetrics & Gynecology - Reproductive Endocrinology in Tampa, FL
NPI Status: Active since January 17, 2006
Contact Information
2700 W DR MARTIN LUTHER KING JR BLVD STE 200
TAMPA, FL
ZIP 33607
Phone: (904) 399-5620
Fax: (904) 399-5645
- Individual
- Male
- Obstetrics & Gynecology
- Reproductive Endocrinology
- PECOS Enrolled
- Opted-Out Medicare
About DANIEL DUFFY
Daniel Duffy is a women's health care provider established in Tampa, Florida and his medical specialization is Obstetrics & Gynecology with a focus in reproductive endocrinology . The healthcare provider is registered in the NPI registry with number 1437139573 assigned on January 2006. The practitioner's primary taxonomy code is 207VE0102X with license number ME90002 (FL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1437139573
- Provider Name
- DR. DANIEL MICHAEL DUFFY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2700 W DR MARTIN LUTHER KING JR BLVD STE 200 TAMPA, FL 33607
- Location Phone
- (904) 399-5620
- Location Fax
- (904) 399-5645
- Mailing Address
- 10312 SCOTT MILL RD JACKSONVILLE, FL 32257
- Mailing Phone
- (813) 374-7391
- Mailing Fax
- (904) 399-5645
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-17-2006
- Last Update Date
- 01-28-2022
- Code Navigator
Women's health care providers like Daniel Duffy treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Daniel Duffy opted out of Medicare effective on 04-18-2017 until 04-18-2023. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Reproductive Endocrinology
- Taxonomy Code
- 207VE0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME90002
- License State
- FL
- Taxonomy Description
- An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Cigna Healthcare
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2500 Indiv Med Deductible - EPO
- Connect Gold 500 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3000 Indiv Med Deductible - EPO
- Connect Silver 4000 Indiv Med Deductible - EPO
- Connect Silver 5000 Indiv Med Deductible - EPO
- Connect Silver 9100 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
Florida Blue (BlueCross BlueShield FL)
- BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual Visits / $20 Labs / Rewards $$$) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards $$$) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual Visits / Rewards $$$) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual Visits / Rewards $$$) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual Visits / $0 Labs / Rewards $$$) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual Visits / Rewards $$$) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards $$$) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) - EPO
Florida Blue HMO (a BlueCross BlueShield FL company)
- BlueCare Bronze (HSA) 24K01-09 (Rewards $$$ / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual Visits / Rewards $$$) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards $$$) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual Visits / Rewards $$$) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards $$$) - POS
- BlueCare Gold 24K01-08 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) - POS
- BlueCare Gold 24K01-10 ($0 Virtual Visits / $20 Labs / Rewards $$$) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visit / Multilingual Available/ Rewards $$$) - POS
- BlueCare Gold 24K02-20 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available/ Rewards $$$) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual Visits / Rewards $$$) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Daniel Duffy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-18-2017
Opt-Out End Date: 04-18-2023
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33607 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $135.26
- Minimum New Patient Price $58.4
- Maximum New Patient Price $178.79
- Average New Patient Copayment $33.81
- Minimum New Patient Copayment $14.6
- Maximum New Patient Copayment $44.69
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.76
- Minimum Established Patient Price $17.74
- Maximum Established Patient Price $145.28
- Average Established Patient Copayment $25.94
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $36.32
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 3 | 7 | 1 | 3 | 9 | 5 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 2 | 3 | 18 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 2 + 3 + 1 + 8 + 5 + 1 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1437139573 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437139573, enumerated in the NPI registry as an "individual" on January 17, 2006
The provider is located at 2700 W Dr Martin Luther King Jr Blvd Ste 200 Tampa, Fl 33607 and the phone number is (904) 399-5620
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VE0102X with a focus in Reproductive Endocrinology
The provider might be accepting Accepts: Cigna Healthcare, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $135.26 with an average copayment of $33.81 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on April 18, 2017 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 18, 2023.
This NPI record was last updated on January 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.