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JONATHAN DUCKWORTH DO
NPI 1649836396
Emergency Medicine in Clinton Twp, MI

Active since May 17, 2019PECOS EnrolledAccepts Medicare Assignment
36500 S GRATIOT AVE, CLINTON TWP, MI 48035(586) 790-9003 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2022, May 17, 2019 (2 updates tracked since 2019).

About Jonathan Duckworth Do NPPES

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

JONATHAN DUCKWORTH DO (NPI 1649836396) is an individual emergency medicine provider in Clinton Twp, Michigan, licensed in Michigan (5101027005) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1649836396
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJONATHAN DUCKWORTHCredential: DO
Location Address36500 S GRATIOT AVEClinton Twp, MI 48035-1772
Mailing Address36500 S Gratiot AveClinton Twp, MI 48035-1772 · (586) 790-9003
Phone(586) 790-9003
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2019
Enumeration DateMay 17, 2019
Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
✔ NPI 1649836396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101027005
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
36500 S GRATIOT AVE, Clinton Twp, MI 48035
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance 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

Jonathan Duckworth Do 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 ID6305171539
PECOS Enrollment IDI20220817003283
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 4

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.
157 services151 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.
46 services45 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services19 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231327
Location321 E Harris StreetCharlotte, MI 48813 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48035 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 19

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

MCG PROFESSIONAL BILLING L.L.C.
Obstetrics & Gynecology
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3740
MCLAREN MACOMB
Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Internal Medicine
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Internal Medicine
36500 S GRATIOT AVE, STE. 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Family Medicine
36500 S GRATIOT AVE, STE. 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3727
SHANNON N MCMANN DO
Internal Medicine
36500 S GRATIOT AVE, STE 102
CLINTON TWP, MI 48035
Macomb County (586) 790-9003
MCLAREN MACOMB
Neuromusculoskeletal Medicine & OMM
36500 S GRATIOT AVE, SUITE 202
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 493-3727
MCLAREN MACOMB
Orthopaedic Surgery
36500 S GRATIOT AVE, SUITE 102
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 790-9003

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 Jonathan Duckworth's NPI number?

The NPI number for Jonathan Duckworth is 1649836396. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is Jonathan Duckworth located?

Jonathan Duckworth practices at 36500 S Gratiot Ave, Clinton Twp, MI 48035. The listed phone number is (586) 790-9003.

What is Jonathan Duckworth's specialty?

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

Is Jonathan Duckworth enrolled in Medicare?

Yes. Jonathan Duckworth 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 Jonathan Duckworth accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jonathan Duckworth 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 Jonathan Duckworth affiliated with any hospitals?

According to CMS data, Jonathan Duckworth is affiliated with Edward W Sparrow Hospital and Sparrow Eaton Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Duckworth was last updated on August 5, 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.