ANDREA DUCHINI MD
NPI 1710067053
Internal Medicine - Gastroenterology in Houston, TX

Q: What is Andrea Duchini's NPI number?

The NPI number for Andrea Duchini is 1710067053. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Andrea Duchini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Duchini was last updated on January 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 17, 2006PECOS Enrolled

75/100

CMS Quality Rating

6560 FANNIN ST STE 1008, HOUSTON, TX 77030(713) 275-3378(832) 968-4405 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Andrea Duchini Md NPPES

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

ANDREA DUCHINI MD (NPI 1710067053) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (L1022) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1710067053

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameANDREA DUCHINICredential: MD

Location Address6560 FANNIN ST STE 1008Houston, TX 77030-2725

Mailing Address6560 Fannin St, Suite 1008Houston, TX 77030-2761 · (713) 275-3778

Phone(713) 275-3378

Fax(832) 968-4405

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateOctober 17, 2006

Last NPPES UpdateJanuary 16, 2019

✔ NPI 1710067053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · L1022

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

6560 FANNIN ST STE 1008, Houston, TX 77030

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Other Identifiers 1

Medicaid145579202TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, WellPoint.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)

Andrea Duchini Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638260607

PECOS Enrollment IDI20070806000142

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 16

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.

452 services253 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

350 services264 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

350 services264 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

349 services264 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.

211 services186 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.

195 services75 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

194 services95 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.

98 services80 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.

57 services57 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.

57 services56 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

51 services47 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

29 services27 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

22 services17 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

16 services13 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

13 services13 patients

Tying of dilated veins of stomach and/or esophagus using a flexible endoscope 43244

This procedure involves using a flexible tube (endoscope) to view and tie off enlarged veins in the stomach or esophagus. This helps prevent bleeding from these veins, which can occur due to certain conditions like liver disease.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450346

Location3080 College StreetBeaumont, TX 77701 · Jefferson County

Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450424

Location4401 Garth RoadBaytown, TX 77521 · Harris County

Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number450573

Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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

Individually scored

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers63 claims7,605 services$0.29 avg. paid by Medicare

Everolimus, oral, 0.25 mg J7527

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers14 claims5,340 services$3.65 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

6 suppliers51 claims51 services$18.21 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers35 claims42 services$12.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 2

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

GASTROENTEROLOGY &TRANSPLANT HEPATOLOGY INTERNATIONAL PA

Specialist

6560 FANNIN ST STE 1008
HOUSTON, TX 77030

Harris County (713) 275-3778

DR. MONIKA S. AYYAR D.O.

Physical Medicine & Rehabilitation

6560 FANNIN ST STE 1008
HOUSTON, TX 77030

Harris County (281) 207-2660

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 Andrea Duchini's NPI number?

The NPI number for Andrea Duchini is 1710067053. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Andrea Duchini located?

Andrea Duchini practices at 6560 Fannin St Ste 1008, Houston, TX 77030. The listed phone number is (713) 275-3378.

What is Andrea Duchini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Andrea Duchini enrolled in Medicare?

Yes. Andrea Duchini is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Duchini accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and WellPoint list Andrea Duchini 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 Andrea Duchini affiliated with any hospitals?

According to CMS data, Andrea Duchini is affiliated with Christus Southeast Texas- St Elizabeth, Baptist Beaumont Hospital, Houston Methodist Hospital, Houston Methodist Baytown Hospital and Christus Jasper Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Duchini was last updated on January 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.