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DR. MITCHELL DUTERTE MD
NPI 1558345462
Internal Medicine - Gastroenterology in Lake City, FL

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
4355 NW AMERICAN LN, LAKE CITY, FL 32055(386) 758-6094(386) 758-6995 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mitchell Duterte Md NPPES

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

DR. MITCHELL DUTERTE MD (NPI 1558345462) is an individual gastroenterology provider in Lake City, Florida, licensed in Florida (ME87014) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1558345462
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MITCHELL DUTERTECredential: MD
Location Address4355 NW AMERICAN LNLake City, FL 32055-4828
Mailing Address4355 Nw American LnLake City, FL 32055-4828 · (386) 758-6094 · Fax (386) 758-6995
Phone(386) 758-6094
Fax(386) 758-6995
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 5, 2005
Last NPPES UpdateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1558345462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME87014
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4355 NW AMERICAN LN, Lake City, FL 32055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Mitchell Duterte 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 ID7810988235
PECOS Enrollment IDI20040524000123
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.

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.
197 services169 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.
168 services168 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
134 services133 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
126 services123 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.
111 services60 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
109 services108 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32055 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

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.

MR. SHAWN WAUGH PA -L
Physician Assistant (Medical)
4355 NW AMERICAN LN
LAKE CITY, FL 32055
Columbia County (386) 758-6094
PATHOLOGY ASSOCIATES OF NORTH FLORIDA
Clinical Medical Laboratory
4355 NW AMERICAN LN
LAKE CITY, FL 32055
Columbia County (386) 758-6094
DR. RIZWANA THANAWALA MD
Internal Medicine (Gastroenterology)
4355 NW AMERICAN LN
LAKE CITY, FL 32055
Columbia County (386) 758-6094

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 Mitchell Duterte's NPI number?

The NPI number for Mitchell Duterte is 1558345462. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Mitchell Duterte located?

Mitchell Duterte practices at 4355 NW American Ln, Lake City, FL 32055. The listed phone number is (386) 758-6094.

What is Mitchell Duterte's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mitchell Duterte enrolled in Medicare?

Yes. Mitchell Duterte 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 Mitchell Duterte accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mitchell Duterte 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 Mitchell Duterte affiliated with any hospitals?

According to CMS data, Mitchell Duterte is affiliated with Hca Florida Lake City Hospital and Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Mitchell Duterte was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.