LUIS E DUARTE MD
NPI 1700867348
Neurological Surgery in San Angelo, TX
About Luis E Duarte Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUIS E DUARTE MD (NPI 1700867348) is an individual neurological surgery provider in San Angelo, Texas, licensed in Texas (K2451) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Val Verde Regional Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Luis E Duarte 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.
Areas of Expertise CMS Part B claims 38
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Val Verde Regional Medical Center
Acute Care Hospitals · Del Rio, TXShannon Medical Center
Acute Care Hospitals · San Angelo, TXLillian M Hudspeth Memorial Hospital
Critical Access Hospitals · Sonora, TXHeart Of Texas Memorial Hospital
Critical Access Hospitals · Brady, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAN ANGELO, TX 76903
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 Luis Duarte's NPI number?
The NPI number for Luis Duarte is 1700867348. It was assigned to this individual provider in the NPPES registry on November 10, 2005.
Where is Luis Duarte located?
Luis Duarte practices at 120 E Beauregard Ave, San Angelo, TX 76903. The listed phone number is (325) 658-1511.
What is Luis Duarte's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Luis Duarte enrolled in Medicare?
Yes. Luis 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.
What insurance does Luis Duarte accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Luis Duarte 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 Luis Duarte affiliated with any hospitals?
According to CMS data, Luis Duarte is affiliated with Val Verde Regional Medical Center, Shannon Medical Center, Lillian M Hudspeth Memorial Hospital and Heart Of Texas Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Luis Duarte was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.