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DR. DEREK A DUKE M.D.
NPI 1619934916
Neurological Surgery in Henderson, NV

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
98.13/100
CMS Quality Rating
861 CORONADO CENTER DR, SUITE 200, HENDERSON, NV 89052(702) 896-0940(702) 896-6173 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Derek A Duke M.d. NPPES

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

DR. DEREK A DUKE M.D. (NPI 1619934916) is an individual neurological surgery provider in Henderson, Nevada, licensed in Nevada (8979) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Siena Campus, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1993).

NPPES Registry Identity

NPI1619934916
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. DEREK A DUKECredential: M.D.
Location Address861 CORONADO CENTER DR, SUITE 200Henderson, NV 89052
Mailing AddressPo Box 95306Las Vegas, NV 89193-5306 · (702) 896-0940 · Fax (702) 896-6173
Phone(702) 896-0940
Fax(702) 896-6173
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1993
Enumeration DateApril 28, 2006
Last NPPES UpdateJuly 20, 2015
✔ NPI 1619934916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in NV · 8979✔ Licensed in AZ · 36583
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
861 CORONADO CENTER DR, Henderson, NV 89052
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Other Identifiers 4

Medicare UPINF84571NV
Medicaid1619934916NV
Other140006030NV · Railroad Medicare
Medicaid468662AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.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. Derek A Duke M.d. 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 ID8527056837
PECOS Enrollment IDI20040511001502, I20080612000776
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 14

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.
375 services289 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.
178 services178 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.
130 services130 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.
118 services69 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.
98 services90 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.
95 services93 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Southern Hills Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290047
Location9300 West Sunset RdLas Vegas, NV 89148 · Clark County
Emergency services

Boulder City Hospital

Critical Access Hospitals · Boulder City, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number291309
Location901 Adams BlvdBoulder City, NV 89005 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

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.

98.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.26
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%718 patients4/55-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.
99%2,471 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.
71%296 patients3/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
93%117 patients4/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
97%117 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
17%976 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%2,662 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%2,039 patients4/55-star benchmark: 100%
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…
99%1,397 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
25%32 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
97%302 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%2,039 patients4/55-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 CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
71%2,039 patients4/55-star benchmark: 79%
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier13 claims13 services$3,519.17 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 9

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

DONNA MILLER MD
Obstetrics & Gynecology
861 CORONADO CENTER DR, SUITE 131
HENDERSON, NV 89052
Clark County (725) 777-0414
DOROTHY ELLA STONE PA-C
Physician Assistant
861 CORONADO CENTER DR, SUITE 200
HENDERSON, NV 89052
Clark County (702) 896-0940
ASHISH SHARMA MD
Internal Medicine
861 CORONADO CENTER DR, #100
HENDERSON, NV 89052
Clark County (702) 454-1322
DUKE FORAGE ANSON NEUROSURGICAL LLP
Neurological Surgery
861 CORONADO CENTER DR, SUITE 200
HENDERSON, NV 89052
Clark County (702) 896-0940
DUKE NEUROSURGICAL
Specialist
861 CORONADO CENTER DR, SUITE 200
HENDERSON, NV 89052
Clark County (702) 896-0940
MARIGENE SALAZAR SHARMA MD
Internal Medicine
861 CORONADO CENTER DR, SUITE 100
HENDERSON, NV 89052
Clark County (702) 454-1322
DR. JAMES S FORAGE M.D.
Neurological Surgery
861 CORONADO CENTER DR, SUITE 200
HENDERSON, NV 89052
Clark County (702) 896-0940
CHW NEVADA IMAGING COMPANY LLC
Clinic/Center (Radiology, Mammography)
861 CORONADO CENTER DR, SUITE 101
HENDERSON, NV 89052
Clark County (702) 968-9729

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 Derek Duke's NPI number?

The NPI number for Derek Duke is 1619934916. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Derek Duke located?

Derek Duke practices at 861 Coronado Center Dr Suite 200, Henderson, NV 89052. The listed phone number is (702) 896-0940.

What is Derek Duke's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Derek Duke enrolled in Medicare?

Yes. Derek Duke 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 Derek Duke accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Derek Duke 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 Derek Duke affiliated with any hospitals?

According to CMS data, Derek Duke is affiliated with Saint Rose Dominican Hospitals - Siena Campus, Southern Hills Hospital And Medical Center and Boulder City Hospital.

When was this NPI record last updated?

The NPPES record for Derek Duke was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.