DR. MELISSA M DUARTE D.O.
NPI 1649433228
Internal Medicine in Hartford, CT

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
80 SEYMOUR ST, HARTFORD, CT 06102(860) 972-2085 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2023, Dec 1, 2020 (2 updates tracked since 2020).

About Dr. Melissa M Duarte D.o. NPPES

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

DR. MELISSA M DUARTE D.O. (NPI 1649433228) is an individual internal medicine provider in Hartford, Connecticut, licensed in Connecticut (054512) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2008).

NPPES Registry Identity

NPI1649433228
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MELISSA M DUARTECredential: D.O.
Location Address80 SEYMOUR STHartford, CT 06102
Mailing Address80 Seymour StHartford, CT 06102-8000 · (860) 972-2085 · Fax (860) 972-5057
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2008
Enumeration DateJuly 3, 2008
Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1649433228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 054512
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 054512 (CT)
80 SEYMOUR ST, Hartford, CT 06102

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. Melissa M Duarte D.o. 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 ID8426228701
PECOS Enrollment IDI20151023002250
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

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.

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.
26 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06102 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

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.

Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102

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 Melissa Duarte's NPI number?

The NPI number for Melissa Duarte is 1649433228. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Melissa Duarte located?

Melissa Duarte practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-2085.

What is Melissa Duarte's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Melissa Duarte enrolled in Medicare?

Yes. Melissa Duarte 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.

When was this NPI record last updated?

The NPPES record for Melissa Duarte was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.