BRIAN PAUL DUFFELL
NPI 1629426978
Emergency Medicine in East Norriton, PA

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
63.63/100
CMS Quality Rating
400 E GERMANTOWN PIKE, EAST NORRITON, PA 19401(610) 994-0063 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, Aug 7, 2018 (2 updates tracked since 2018).

About Brian Paul Duffell NPPES

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

BRIAN PAUL DUFFELL (NPI 1629426978) is an individual emergency medicine provider in East Norriton, Pennsylvania, licensed in Pennsylvania (MD465002) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Northwest Hospital, and is a graduate of Tulane University School Of Medicine (2016).

NPPES Registry Identity

NPI1629426978
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRIAN PAUL DUFFELL
Location Address400 E GERMANTOWN PIKEEast Norriton, PA 19401
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2016
Enumeration DateMay 27, 2016
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1629426978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in PA · MD465002 Licensed in TN · 60131
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.

400 E GERMANTOWN PIKE, East Norriton, PA 19401

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

Brian Paul Duffell 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 ID9335499409
PECOS Enrollment IDI20190918002272, I20210507001304, I20231107003301
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
219 services213 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
116 services115 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Northwest Hospital

Acute Care Hospitals · Margate, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100189
Location2801 N State Rd 7Margate, FL 33063 · Broward County
Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19401 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.19
Promoting Interoperability100
Improvement Activities40
Cost58.59

Other Providers at the Same Location NPPES 13

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

Emergency Medicine
400 E GERMANTOWN PIKE
EAST NORRITON, PA 19401
Physician Assistant (Medical)
400 E GERMANTOWN PIKE
EAST NORRITON, PA 19401
Physician Assistant
400 E GERMANTOWN PIKE
EAST NORRITON, PA 19401
Physician Assistant
400 E GERMANTOWN PIKE
EAST NORRITON, PA 19401
Family Medicine
400 E GERMANTOWN PIKE
EAST NORRITON, PA 19401
Physician Assistant
400 E GERMANTOWN PIKE
EAST NORRITON, PA 19401
Physician Assistant
400 E GERMANTOWN PIKE
EAST NORRITON, PA 19401
Hospitalist
400 E GERMANTOWN PIKE
EAST NORRITON, PA 19401

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 Brian Duffell's NPI number?

The NPI number for Brian Duffell is 1629426978. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Brian Duffell located?

Brian Duffell practices at 400 E Germantown Pike, East Norriton, PA 19401. The listed phone number is (610) 994-0063.

What is Brian Duffell's specialty?

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

Is Brian Duffell enrolled in Medicare?

Yes. Brian Duffell 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 Brian Duffell accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Brian Duffell 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 Brian Duffell affiliated with any hospitals?

According to CMS data, Brian Duffell is affiliated with Hca Florida Northwest Hospital, Tristar Summit Medical Center and Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Duffell was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.