Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL F DUFFY MD
NPI 1497878060
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Addison, TX

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment
17051 DALLAS PKWY STE 400, ADDISON, TX 75001(214) 370-3535(214) 370-0004 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael F Duffy Md NPPES

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

DR. MICHAEL F DUFFY MD (NPI 1497878060) is an individual orthopaedic surgery of the spine provider in Addison, Texas, licensed in Texas (M9985) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Kaufman, and maintains a secondary practice location in Midlothian.

NPPES Registry Identity

NPI1497878060
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. MICHAEL F DUFFYCredential: MD
Location Address17051 DALLAS PKWY STE 400Addison, TX 75001-7108
Mailing Address17051 Dallas Pkwy Ste 400Addison, TX 75001-7108 · (214) 370-3535 · Fax (214) 370-0004
Fax(214) 370-0004
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2003
Enumeration DateApril 9, 2007
Last NPPES UpdateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1497878060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in TX · M9985
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License M9985 (TX)
17051 DALLAS PKWY STE 400, Addison, TX 75001

Secondary Practice Location 1

Location 1979 Don Floyd Dr Ste 104Midlothian, TX 76065-6640 · Phone (214) 370-3535 · Fax (214) 370-0004

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. Michael F Duffy 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.

PECOS PAC ID749344612
PECOS Enrollment IDI20090122000174
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Duffy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology
11970 N CENTRAL EXPY STE 100
Dallas, TX 75243
  • Reassigned Medicare billing, Texas enrollment
  • 216 clinicians in this Medicare group
Neurological Surgery
4510 MEDICAL CENTER DR, SUITE 301
Mckinney, TX 75069
  • Reassigned Medicare billing, Texas enrollment
  • 40 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 13

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.
194 services115 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.
64 services64 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
60 services59 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
49 services31 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
31 services15 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
27 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Texas Health Presbyterian Hospital Kaufman

Acute Care Hospitals · Kaufman, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450292
Location850 Ed HallKaufman, TX 75142 · Kaufman County
Emergency services

Baylor Scott And White Medical Center Uptown

Acute Care Hospitals · Dallas, TX
OwnershipProprietary
CMS Certification Number450422
Location2727 East Lemmon Avenue Building IDallas, TX 75204 · Dallas County
Emergency services

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

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

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
67%3,638 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
67%3,638 patients1/55-star benchmark: 100%
Documentation of Signed Opioid Treatment Agreement
All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record
98%279 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%3,063 patients4/55-star benchmark: 100%
Functional Outcome Assessment
Percentage of visits for patients aged 18 years and older with documentation of a current functional outcome assessment using a standardized functional outcome assessment tool on the date of the encounter AND documentation of a care plan based on identified…
99%3,647 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
97%3,647 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
0%1,876 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
94%1,880 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
51%909 patients3/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%1,880 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
59%190 patients3/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
0%1,876 patients1/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
0%1,154 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
30%1,876 patients2/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
11%1,876 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant (Surgical)
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Specialist
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Physical Medicine & Rehabilitation
17051 DALLAS PKWY STE 400, SUITE 400
ADDISON, TX 75001
Physician Assistant (Surgical)
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Psychiatry & Neurology (Clinical Neurophysiology)
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Physician Assistant
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Anesthesiology (Pain Medicine)
17051 DALLAS PKWY STE 400
ADDISON, TX 75001
Orthopaedic Surgery
17051 DALLAS PKWY STE 400
ADDISON, TX 75001

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 Duffy's NPI number?

The NPI number for Michael Duffy is 1497878060. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Michael Duffy located?

Michael Duffy practices at 17051 Dallas Pkwy Ste 400, Addison, TX 75001. The listed phone number is (214) 370-3535.

What is Michael Duffy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Michael Duffy enrolled in Medicare?

Yes. Michael Duffy 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 organizations bill Medicare for Michael Duffy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Duffy reassigns Medicare benefits to 2 organizations: North Star Fp, LP (Dallas, TX) and Arlington Neurosurgeons, PLLC (Mckinney, TX). 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 Michael Duffy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Duffy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Michael Duffy 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 Duffy affiliated with any hospitals?

According to CMS data, Michael Duffy is affiliated with Texas Health Presbyterian Hospital Kaufman, Baylor Scott And White Medical Center Uptown, Medical City Dallas Hospital and Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Duffy was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.