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DR. DON D DUKE JR. MD
NPI 1619971181
Emergency Medicine in Cincinnati, OH

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
4440 RED BANK RD, SUITE 110, CINCINNATI, OH 45227(513) 564-1366(513) 564-1367 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Don D Duke Jr. Md NPPES

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

DR. DON D DUKE JR. MD (NPI 1619971181) is an individual emergency medicine provider in Cincinnati, Ohio, licensed in Ohio (35057285) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1987).

NPPES Registry Identity

NPI1619971181
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DON D DUKE JR.Credential: MD
Location Address4440 RED BANK RD, SUITE 110Cincinnati, OH 45227-2176
Mailing Address4440 Red Bank Rd, Suite 110Cincinnati, OH 45227-2176 · (513) 564-1366 · Fax (513) 564-1367
Phone(513) 564-1366
Fax(513) 564-1367
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1987
Enumeration DateJune 13, 2005
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1619971181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35057285
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4440 RED BANK RD, Cincinnati, OH 45227
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Other Identifiers 3

Medicaid64931058KY
Medicaid0813212OH
Medicaid200219200IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Don D Duke Jr. 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 ID1355315813
PECOS Enrollment IDI20040822000003
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 8

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
299 services55 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.
176 services91 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
121 services16 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.
32 services32 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.
24 services21 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45227 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier36 claims3,360 services$0.36 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
1 supplier23 claims5,030 services$0.04 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier29 claims1,027 services$2.06 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims654 services$3.14 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier21 claims1,750 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier25 claims2,872 services$0.38 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.

MRS. AMANDA M. DENNEY M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4440 RED BANK RD, SUITE 210
CINCINNATI, OH 45227
Hamilton County (513) 272-0313
DR. SUSANNAH MACDONALD BECKER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4440 RED BANK RD, SUITE 210
CINCINNATI, OH 45227
Hamilton County (513) 272-0313
KRISTIN GASKINS CNP
Nurse Practitioner (Family)
4440 RED BANK RD, SUITE 110
CINCINNATI, OH 45227
Hamilton County (513) 564-1366
MARY ELLEN ADAMS ANP
Nurse Practitioner (Adult Health)
4440 RED BANK RD, SUITE 210
CINCINNATI, OH 45227
Hamilton County (513) 272-0313
DR. KATHERINE MILLER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4440 RED BANK RD, SUITE 210
CINCINNATI, OH 45227
Hamilton County (513) 272-0313
JOHN CLIFTON STADNIK MD
Emergency Medicine
4440 RED BANK RD, SUITE 110
CINCINNATI, OH 45227
Hamilton County (513) 564-1366
MRS. JILL STEPHANIE LEGRAND HUTH RD, LD
Dietitian, Registered
4440 RED BANK RD, SUITE 210
CINCINNATI, OH 45227
Hamilton County (513) 272-0313
ALISON PATRICIA SWEET M.D.
Emergency Medicine
4440 RED BANK RD, SUITE 110
CINCINNATI, OH 45227
Hamilton County (513) 564-1366

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 Don Duke's NPI number?

The NPI number for Don Duke is 1619971181. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Don Duke located?

Don Duke practices at 4440 Red Bank Rd Suite 110, Cincinnati, OH 45227. The listed phone number is (513) 564-1366.

What is Don Duke's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Don Duke enrolled in Medicare?

Yes. Don 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 Don Duke accept?

Health plans from CareSource list Don 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 Don Duke affiliated with any hospitals?

According to CMS data, Don Duke is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Don Duke was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.