MICHAEL J DUZY DO
NPI 1689679201
Internal Medicine - Cardiovascular Disease in Kennett Square, PA

Q: What is Michael Duzy's NPI number?

The NPI number for Michael Duzy is 1689679201. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Q: What is Michael Duzy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Duzy was last updated on July 7, 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.

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment

404 MCFARLAN RD, BLDG A STE 102, KENNETT SQUARE, PA 19348(610) 696-2850(610) 696-7159 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2023, Jun 29, 2020, Jun 1, 2020 (3 updates tracked since 2020).

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About Michael J Duzy Do NPPES

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

MICHAEL J DUZY DO (NPI 1689679201) is an individual cardiovascular disease provider in Kennett Square, Pennsylvania, licensed in Pennsylvania (OS008088L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1992).

NPPES Registry Identity

NPI1689679201

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMICHAEL J DUZYCredential: DO

Location Address404 MCFARLAN RD, BLDG A STE 102Kennett Square, PA 19348-2479

Mailing Address207 N Broad St Fl 3Philadelphia, PA 19107-1500 · (610) 696-2850 · Fax (610) 696-7159

Phone(610) 696-2850

Fax(610) 696-7159

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1992

Enumeration DateJune 20, 2005

Last NPPES UpdateJuly 7, 20233 updates tracked since enumeration

NPPES CertifiedJuly 7, 2023

✔ NPI 1689679201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · OS008088L

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

404 MCFARLAN RD, Kennett Square, PA 19348

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Other Identifiers 1

Medicaid0017497840010PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Michael J Duzy 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 ID941374615

PECOS Enrollment IDI20080730000363

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 Reassignments

Medicare enrollment records show Michael Duzy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christiana Care Health Services Inc

0.1 mi

Clinical

721 E BALTIMORE PIKE
Kennett Square, PA 19348

Reassigned Medicare billing, Pennsylvania enrollment
186 clinicians in this Medicare group

NPI 1609409861 (302) 623-7362

West Grove Clinic Company LLC

6.3 mi

Neurology

1015 W BALTIMORE PIKE
West Grove, PA 19390

Reassigned Medicare billing, Pennsylvania enrollment
106 clinicians in this Medicare group

NPI 1093355992 (610) 869-1555

Cardiology Consultants Of Philadelphia, P.C.

28 mi

Cardiovascular Disease

1703 S BROAD ST STE 300
Philadelphia, PA 19148

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Cardiology Consultants Of Philadelphia PC
144 clinicians in this Medicare group

NPI 1649272386 (215) 463-5333

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 14

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,627 services1,115 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

1,149 services761 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.

901 services650 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

235 services230 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

232 services196 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

157 services157 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.

80 services80 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

71 services71 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

65 services65 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

44 services44 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

36 services34 patients

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 services24 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

14 services14 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19348 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

0%265 patients1/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

10%599 patients1/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%2,645 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%2,950 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%242 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

92%1,333 patients4/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

31%1,324 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 99% · 888 patients

Patients tobacco: 52% · 23 patients

94%888 patients4/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

83%1,333 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

4%1,333 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

8%1,333 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

CHESTER CO ENDODONITCS SOUTH

Dentist (Endodontics)

404 MCFARLAN RD, SUITE 302
KENNETT SQUARE, PA 19348

Chester County (610) 925-3440

DR. SONY P JOHN MD

Family Medicine

404 MCFARLAN RD, SUITE 101
KENNETT SQUARE, PA 19348

Chester County (610) 925-3834

OPHTHALMIC CONSULTANTS LTD

Ophthalmology

404 MCFARLAN RD, SUITE 202
KENNETT SQUARE, PA 19348

Chester County (610) 444-1519

PROGRESSIVE SPORTS MEDICINE, PC

Family Medicine (Sports Medicine)

404 MCFARLAN RD, SUITE 201
KENNETT SQUARE, PA 19348

Chester County (610) 444-5406

PAUL J ALFIERI M.D.

Internal Medicine (Cardiovascular Disease)

404 MCFARLAN RD, BLDG A SUITE 102
KENNETT SQUARE, PA 19348

Chester County (610) 696-2850

DR. JAMES G. HUPP D.M.D

Dentist (Endodontics)

404 MCFARLAN RD, STE 302
KENNETT SQUARE, PA 19348

Chester County (610) 925-3440

ALISSA KINCEL

Nurse Practitioner (Adult Health)

404 MCFARLAN RD
KENNETT SQUARE, PA 19348

Chester County (610) 696-2850

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 Michael Duzy's NPI number?

The NPI number for Michael Duzy is 1689679201. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Michael Duzy located?

Michael Duzy practices at 404 Mcfarlan Rd Bldg A Ste 102, Kennett Square, PA 19348. The listed phone number is (610) 696-2850.

What is Michael Duzy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Duzy enrolled in Medicare?

Yes. Michael Duzy 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 organizations bill Medicare for Michael Duzy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Duzy reassigns Medicare benefits to 3 organizations: Christiana Care Health Services Inc (Kennett Square, PA), West Grove Clinic Company LLC (West Grove, PA) and Cardiology Consultants Of Philadelphia, P.C. (Philadelphia, PA). Each 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 Michael Duzy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Duzy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Michael Duzy 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 Michael Duzy affiliated with any hospitals?

According to CMS data, Michael Duzy is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Michael Duzy was last updated on July 7, 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.