DR. LIONEL R DUARTE MD
NPI 1528026846
Family Medicine in Tucson, AZ

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
6565 E CARONDELET DR STE 275, TUCSON, AZ 85710(520) 298-0147(520) 298-7404 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lionel R Duarte Md NPPES

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

DR. LIONEL R DUARTE MD (NPI 1528026846) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (21383) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of University Of Arizona College Of Medicine (1990).

NPPES Registry Identity

NPI1528026846
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LIONEL R DUARTECredential: MD
Location Address6565 E CARONDELET DR STE 275Tucson, AZ 85710-3529
Mailing Address4801 E Broadway Blvd Ste 251Tucson, AZ 85711-2700 · (520) 327-0460 · Fax (520) 795-0225
Fax(520) 298-7404
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1990
Enumeration DateMay 3, 2006
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1528026846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 21383
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6565 E CARONDELET DR STE 275, Tucson, AZ 85710

Secondary Practice Location 1

Location 19302 E 22nd Street, Saguaro Eastside Medical GroupTucson, AZ 85710 · Phone (520) 298-0147 · Fax (520) 298-7404

Other Identifiers 1

Medicaid182353AZ

Accepted Insurance

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. Lionel R 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.

PECOS PAC ID3971590282
PECOS Enrollment IDI20040428001333
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 35

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
525 services329 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.
467 services249 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
441 services305 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
398 services293 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
360 services276 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
356 services285 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85710 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers31 claims113 services$6.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers23 claims43 services$1.12 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers17 claims17 services$32.85 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers17 claims17 services$41.36 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers16 claims16 services$15.46 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers23 claims125 services$1.74 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 7

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

Nurse Practitioner (Family)
6565 E CARONDELET DR STE 275
TUCSON, AZ 85710
Family Medicine
6565 E CARONDELET DR STE 275
TUCSON, AZ 85710
Family Medicine
6565 E CARONDELET DR STE 275
TUCSON, AZ 85710
Internal Medicine
6565 E CARONDELET DR STE 275
TUCSON, AZ 85710
Nurse Practitioner (Family)
6565 E CARONDELET DR STE 275
TUCSON, AZ 85710
Family Medicine
6565 E CARONDELET DR STE 275
TUCSON, AZ 85710
Nurse Practitioner (Family)
6565 E CARONDELET DR STE 275
TUCSON, AZ 85710

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 Lionel Duarte's NPI number?

The NPI number for Lionel Duarte is 1528026846. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Lionel Duarte located?

Lionel Duarte practices at 6565 E Carondelet Dr Ste 275, Tucson, AZ 85710. The listed phone number is (520) 298-0147.

What is Lionel Duarte's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lionel Duarte enrolled in Medicare?

Yes. Lionel 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.

What insurance does Lionel Duarte accept?

Health plans from Blue Cross Blue Shield of Arizona list Lionel 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 Lionel Duarte was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.