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DR. DENISE NICOLE DUFFY O.D.
NPI 1659721231
Optometrist in Clinton Twp, MI

Active since June 15, 2016PECOS Enrolled
94.5/100
CMS Quality Rating
42550 GARFIELD RD, SUITE 101, CLINTON TWP, MI 48038(586) 263-9708(586) 263-0280 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Denise Nicole Duffy O.d. NPPES

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

DR. DENISE NICOLE DUFFY O.D. (NPI 1659721231) is an individual optometrist in Clinton Twp, Michigan, licensed in Michigan (4901004969) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659721231
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DENISE NICOLE DUFFYCredential: O.D.
Location Address42550 GARFIELD RD, SUITE 101Clinton Twp, MI 48038-1644
Mailing Address42550 Garfield Rd, Suite 101Clinton Twp, MI 48038-1644 · (586) 263-9708 · Fax (586) 263-0280
Phone(586) 263-9708
Fax(586) 263-0280
Sole ProprietorNo
Enumeration DateJune 15, 2016
✔ NPI 1659721231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901004969
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
42550 GARFIELD RD, Clinton Twp, MI 48038
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Denise Nicole Duffy O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.

Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
209 services61 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.
71 services45 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.
49 services35 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
37 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
34 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

94.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

MICHAEL STEVEN BREZA OD
Optometrist
42550 GARFIELD RD, STE. 101
CLINTON TWP, MI 48038
Macomb County (586) 263-9708
DR. THOMAS CARL HOSEY DPM
Podiatrist (Primary Podiatric Medicine)
42550 GARFIELD RD, STE 103
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-4411
DR. RYAN MICHAEL MURPHY D.P.M.
Podiatrist (Foot & Ankle Surgery)
42550 GARFIELD RD, SUITE 103
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-4411
OPTOMETRY, P.C.
Optometrist
42550 GARFIELD RD, SUITE 101
CLINTON TWP, MI 48038
Macomb County (586) 263-9708
MRS. KIMBERLY ANN DANTA-DAHL
Dentist (General Practice)
42550 GARFIELD RD, STE 104B
CLINTON TWP, MI 48038
Macomb County (586) 228-2800
HH REHAB ASSOCIATES INC
Physical Therapist
42550 GARFIELD RD, SUITE 103
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 566-8913
BHAVINBHAI PATEL PT
Physical Therapist
42550 GARFIELD RD, SUITE 103
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 412-4666
THOMAS C HOSEY DPM & ASSOCIATES PC
Podiatrist (Foot & Ankle Surgery)
42550 GARFIELD RD, SUITE 103
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-4411

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 Denise Duffy's NPI number?

The NPI number for Denise Duffy is 1659721231. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Denise Duffy located?

Denise Duffy practices at 42550 Garfield Rd Suite 101, Clinton Twp, MI 48038. The listed phone number is (586) 263-9708.

What is Denise Duffy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Denise Duffy enrolled in Medicare?

Yes. Denise Duffy is registered in the Medicare PECOS enrollment system.

What insurance does Denise Duffy accept?

Health plans from Priority Health and Providence Health Plan list Denise Duffy 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.

When was this NPI record last updated?

The NPPES record for Denise Duffy was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.