CAROL J YUAN DUCLAIR MD
NPI 1528221850
Internal Medicine - Pulmonary Disease in Flemington, NJ

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
6 SAND HILL RD, SUITE 202, FLEMINGTON, NJ 08822(908) 237-4080(908) 237-1749 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Jul 16, 2017, Dec 28, 2015 (3 updates tracked since 2015).

About Carol J Yuan Duclair Md NPPES

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

CAROL J YUAN DUCLAIR MD (NPI 1528221850) is an individual pulmonary disease provider in Flemington, New Jersey, licensed in Pennsylvania (MD472605) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528221850
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameCAROL J YUAN DUCLAIRCredential: MD
Location Address6 SAND HILL RD, SUITE 202Flemington, NJ 08822-4946
Mailing Address6 Sand Hill Rd, Suite 202Flemington, NJ 08822-4946 · (908) 237-4080 · Fax (908) 237-1749
Fax(908) 237-1749
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2005
Enumeration DateJuly 7, 2008
Last NPPES UpdateFebruary 6, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1528221850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in PA · MD472605 Licensed in PA · FY9932701
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 25MA09092900 (NJ)
6 SAND HILL RD, Flemington, NJ 08822

Secondary Practice Locations 2

Location 1435 S Kinzer Ave Ste 10New Holland, PA 17557-8706 · Phone (717) 351-2454
Location 2446 N Reading RdEphrata, PA 17522-9802 · Phone (717) 738-4334

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

Carol J Yuan Duclair 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 ID6103072574
PECOS Enrollment IDI20120820000249, I20230522002248, I20240320000884
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
75 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 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.
14 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services13 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08822 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers44 claims44 services$28.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers34 claims34 services$62.48 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers35 claims84 services$23.24 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
6 suppliers16 claims16 services$41.70 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers30 claims30 services$12.54 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers46 claims240 services$1.47 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 20

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

Physician Assistant (Surgical)
6 SAND HILL RD, SUITE 102
FLEMINGTON, NJ 08822
Orthopaedic Surgery
6 SAND HILL RD, SUITE 102
FLEMINGTON, NJ 08822
Registered Nurse (Registered Nurse First Assistant)
6 SAND HILL RD, SUITE 102
FLEMINGTON, NJ 08822
Pediatrics
6 SAND HILL RD, SUITE 202
FLEMINGTON, NJ 08822
Dentist (Pediatric Dentistry)
6 SAND HILL RD
FLEMINGTON, NJ 08822
Otolaryngology
6 SAND HILL RD, SUITE 302
FLEMINGTON, NJ 08822
Pediatrics
6 SAND HILL RD, SUITE 102
FLEMINGTON, NJ 08822
Otolaryngology
6 SAND HILL RD, SUITE 302
FLEMINGTON, NJ 08822

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 Carol Yuan Duclair's NPI number?

The NPI number for Carol Yuan Duclair is 1528221850. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Carol Yuan Duclair located?

Carol Yuan Duclair practices at 6 Sand Hill Rd Suite 202, Flemington, NJ 08822. The listed phone number is (908) 237-4080.

What is Carol Yuan Duclair's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Carol Yuan Duclair enrolled in Medicare?

Yes. Carol Yuan Duclair 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.

Is Carol Yuan Duclair affiliated with any hospitals?

According to CMS data, Carol Yuan Duclair is affiliated with Jfk Medical Center, Wellspan Good Samaritan Hospital, Wellspan Ephrata Community Hospital and Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Carol Yuan Duclair was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.