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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIAN E DUFF MD
NPI 1659489714
Otolaryngology - Otology & Neurotology in Providence, RI

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
830 EDDY ST, PROVIDENCE, RI 02905(401) 272-2300(401) 521-1824 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian E Duff Md NPPES

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

BRIAN E DUFF MD (NPI 1659489714) is an individual otology & neurotology provider in Providence, Rhode Island, licensed in Rhode Island (MD09153) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1659489714
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameBRIAN E DUFFCredential: MD
Location Address830 EDDY STProvidence, RI 02905-4810
Mailing Address830 Eddy StProvidence, RI 02905-4810 · (401) 274-2300 · Fax (401) 521-1824
Phone(401) 272-2300
Fax(401) 521-1824
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1990
Enumeration DateAugust 28, 2006
Last NPPES UpdateSeptember 28, 2026
NPPES CertifiedSeptember 28, 2026
✔ NPI 1659489714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License✔ Licensed in RI · MD09153
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
830 EDDY ST, Providence, RI 02905
Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Dudley StProvidence, RI 02905-3236 · Phone (401) 444-5471

Other Identifiers 1

Medicaid9020308RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian E Duff 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 ID941273411
PECOS Enrollment IDI20040813000952
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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Duff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Otolaryngology-Head And Neck Surgery, Inc.
Same address
Otolaryngology
830 EDDY ST
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 19 clinicians in this Medicare group
NPI 1245350958 (401) 274-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
373 services293 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.
133 services111 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.
81 services81 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.
59 services59 patients
Simple removal of skin debris and drainage of mastoid cavity 69220
This procedure involves clearing out skin debris and draining fluid from the mastoid cavity, an air-filled space in the skull behind the ear. It's done to relieve discomfort, improve hearing, and prevent complications related to ear infections or other conditions.
48 services29 patients
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433
This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.
27 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 5

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

UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC.
Otolaryngology
830 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 274-2300
BRITTANY LEIGH ALGIERE PA-C
Physician Assistant
830 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 273-2300
KERRIE A. MCLAUGHLIN AUD
Audiologist
830 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 885-8484
SHARON E GIBSON MD
Otolaryngology (Pediatric Otolaryngology)
830 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 885-8484
DR. SORINA LOREN SOTIS AU.D.
Audiologist
830 EDDY ST
PROVIDENCE, RI 02905
Providence County (401) 274-2300

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 Duff's NPI number?

The NPI number for Brian Duff is 1659489714. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Brian Duff located?

Brian Duff practices at 830 Eddy St, Providence, RI 02905. The listed phone number is (401) 272-2300.

What is Brian Duff's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Brian Duff enrolled in Medicare?

Yes. Brian Duff 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.

Which organization bills Medicare for Brian Duff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Duff reassigns Medicare benefits to University Otolaryngology-Head And Neck Surgery, Inc. (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Duff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brian Duff affiliated with any hospitals?

According to CMS data, Brian Duff is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Brian Duff was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.