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JAMES PAUL DUFFEY MD
NPI 1508862152
Orthopaedic Surgery in Jacksonville, FL

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
6100 KENNERLY RD STE 202, JACKSONVILLE, FL 32216(904) 619-3048(719) 562-6255 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 20, 2024, Jul 25, 2023, Dec 23, 2020 and 1 more (4 updates tracked since 2016).

About James Paul Duffey Md NPPES

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

JAMES PAUL DUFFEY MD (NPI 1508862152) is an individual orthopaedic surgery provider in Jacksonville, Florida, licensed in Florida (ME166721) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Northern Light Maine Coast Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1508862152
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES PAUL DUFFEYCredential: MD
Location Address6100 KENNERLY RD STE 202Jacksonville, FL 32216-4379
Mailing Address6100 Kennerly Rd Ste 202Jacksonville, FL 32216-4379 · (904) 619-3048
Phone(904) 619-3048
Fax(719) 562-6255
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 28, 2005
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1508862152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME166721
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6100 KENNERLY RD STE 202, Jacksonville, FL 32216
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Other Identifiers 1

Medicaid01343490CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.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

James Paul Duffey 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 ID6305827759
PECOS Enrollment IDI20230413000130
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 James Duffey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Blue Hill Memorial Hospital
1,206 mi
Critical Access
57 WATER STREET
Blue Hill, ME 04614
  • Reassigned Medicare billing, Maine enrollment
  • 125 clinicians in this Medicare group
NPI 1023057809 (207) 374-3400
Maine Coast Regional Health Facilities
1,219 mi
Internal Medicine
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 174 clinicians in this Medicare group
NPI 1598152035 (207) 664-5304

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 4

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.

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.
50 services12 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
34 services27 patients
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.
19 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Northern Light Blue Hill Memorial Hospital

Critical Access Hospitals · Blue Hill, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201300
Location57 Water StreetBlue Hill, ME 04614 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers40 claims40 services$15.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers52 claims53 services$73.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHO ONE JACKSONVILLE
Orthopaedic Surgery (Sports Medicine)
6100 KENNERLY RD STE 202
JACKSONVILLE, FL 32216
Duval County (904) 619-3048
BAHRI ORTHOPEDICS INSTITUTE
Orthopaedic Surgery (Sports Medicine)
6100 KENNERLY RD STE 202
JACKSONVILLE, FL 32216
Duval County (904) 388-3351
ORTHO ONE
Orthopaedic Surgery (Sports Medicine)
6100 KENNERLY RD STE 202
JACKSONVILLE, FL 32216
Duval County (904) 619-3048

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 James Duffey's NPI number?

The NPI number for James Duffey is 1508862152. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is James Duffey located?

James Duffey practices at 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216. The listed phone number is (904) 619-3048.

What is James Duffey's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Duffey enrolled in Medicare?

Yes. James Duffey 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 James Duffey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Duffey reassigns Medicare benefits to 2 organizations: The Blue Hill Memorial Hospital (Blue Hill, ME) and Maine Coast Regional Health Facilities (Ellsworth, ME). 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 James Duffey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Duffey accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list James Duffey 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 James Duffey affiliated with any hospitals?

According to CMS data, James Duffey is affiliated with Northern Light Maine Coast Hospital and Northern Light Blue Hill Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Duffey was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.