DR. VICTOR MANUEL DUARTE MD
NPI 1437449311
Otolaryngology in Los Angeles, CA
About Dr. Victor Manuel Duarte Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VICTOR MANUEL DUARTE MD (NPI 1437449311) is an individual otolaryngology provider in Los Angeles, California, licensed in California (A117437) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Madera, and is a graduate of Georgetown University School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Victor Manuel Duarte Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Victor Duarte reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 37 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Victor Duarte's NPI number?
The NPI number for Victor Duarte is 1437449311. It was assigned to this individual provider in the NPPES registry on April 13, 2011.
Where is Victor Duarte located?
Victor Duarte practices at 200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095. The listed phone number is (310) 206-6688.
What is Victor Duarte's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Victor Duarte enrolled in Medicare?
Yes. Victor Duarte 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.
Which organization bills Medicare for Victor Duarte's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Victor Duarte reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). The 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 Victor Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Victor Duarte accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Victor Duarte 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 Victor Duarte was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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. Victor Manuel Duarte, MD · NPI 1437449311
Otolaryngology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 13, 2011.
## Identity
- **NPI:** 1437449311 (Entity type: Individual)
- **Enumerated:** April 13, 2011
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** A117437 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 UCLA MEDICAL PLZ STE 550, Los Angeles, CA 90095-8761
- **Phone:** (310) 206-6688
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Regents Of The University Of California (NPI 1619935251, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** August 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1437449311) · Data from the CMS NPPES public registry.