DR. CALVIN JOSEPH DUFFAUT III M.D.
NPI 1497056154
Pediatrics in Santa Monica, CA

Q: What is Calvin Duffaut's NPI number?

The NPI number for Calvin Duffaut is 1497056154. It was assigned to this individual provider in the NPPES registry on November 11, 2010.

Q: What is Calvin Duffaut's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Calvin Duffaut was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 11, 2010PECOS EnrolledAccepts Medicare Assignment

97.24/100

CMS Quality Rating

1920 COLORADO AVE, SANTA MONICA, CA 90404(310) 319-4700 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 27, 2019, Nov 24, 2015 (2 updates tracked since 2015).

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About Dr. Calvin Joseph Duffaut Iii M.d. NPPES

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

DR. CALVIN JOSEPH DUFFAUT III M.D. (NPI 1497056154) is an individual pediatrics provider in Santa Monica, California, licensed in California (A114487) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1497056154

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. CALVIN JOSEPH DUFFAUT IIICredential: M.D.

Location Address1920 COLORADO AVESanta Monica, CA 90404-3414

Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631

Phone(310) 319-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateNovember 11, 2010

Last NPPES UpdateNovember 27, 20192 updates tracked since enumeration

✔ NPI 1497056154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A114487

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License A114487 (CA)

Also ListedInternal MedicineTaxonomy 207R00000X · License A114487 (CA)

1920 COLORADO AVE, Santa Monica, CA 90404

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Secondary Practice Locations 2

Location 11250 16th St Ste 2100Santa Monica, CA 90404-1249 · Phone (310) 319-1234 · Fax (424) 259-6560

Location 2100 Ucla Medical Plz Ste 100Los Angeles, CA 90024-7000 · Phone (310) 319-1234 · Fax (424) 259-6560

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

Dr. Calvin Joseph Duffaut Iii 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 ID3173844735

PECOS Enrollment IDI20150608001563

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 10

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

3,000 services36 patients

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

896 services11 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.

403 services82 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.

278 services215 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

235 services139 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

189 services189 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

97.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.94

Promoting Interoperability

100

Improvement Activities

Cost

64.7

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.

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