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ELIZABETH M DUARTE MD
NPI 1770119802
Family Medicine in Alcoa, TN

Active since March 20, 2020PECOS EnrolledAccepts Medicare Assignment
281 CUSICK RD, ALCOA, TN 37701(865) 970-0025(865) 970-2089 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Jun 25, 2024, Mar 20, 2020 (3 updates tracked since 2020).

About Elizabeth M Duarte Md NPPES

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

ELIZABETH M DUARTE MD (NPI 1770119802) is an individual family medicine provider in Alcoa, Tennessee, licensed in Tennessee (71330) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of West Virginia University School Of Medicine (2020).

NPPES Registry Identity

NPI1770119802
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH M DUARTECredential: MD
Location Address281 CUSICK RDAlcoa, TN 37701-3127
Mailing Address281 Cusick RdAlcoa, TN 37701-3127 · (865) 970-0025
Phone(865) 970-0025
Fax(865) 970-2089
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2020
Enumeration DateMarch 20, 2020
Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1770119802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 71330
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
281 CUSICK RD, Alcoa, TN 37701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Elizabeth M 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.

PECOS PAC ID3870998479
PECOS Enrollment IDI20241115002095
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

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.

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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37701 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

UNIVERSITY HEALTH SYSTEM, INC.
Internal Medicine
281 CUSICK RD
ALCOA, TN 37701
Blount County (865) 980-9721
UHS PRIMARY CARE LLC
Family Medicine
281 CUSICK RD
ALCOA, TN 37701
Blount County (865) 970-0025
WILLIAM A PACZKOWSKI NP
Nurse Practitioner (Family)
281 CUSICK RD
ALCOA, TN 37701
Blount County (865) 970-0025
UNIVERSITY HEALTH SYSTEM, INC
Family Medicine
281 CUSICK RD
ALCOA, TN 37701
Blount County (865) 970-0025
CRISTINA E SEMECO ROJAS M.D.
Internal Medicine
281 CUSICK RD
ALCOA, TN 37701
Blount County (865) 980-9721
UNIVERSITY HEALTH SYSTEM. INC
Family Medicine
281 CUSICK RD
ALCOA, TN 37701
Blount County (865) 970-3737
CARA C CONNORS M.D.
Family Medicine
281 CUSICK RD
ALCOA, TN 37701
Blount County (865) 970-0025
DIANA L COBB M.D.
Family Medicine
281 CUSICK RD
ALCOA, TN 37701
Blount County (865) 970-3737

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 Elizabeth Duarte's NPI number?

The NPI number for Elizabeth Duarte is 1770119802. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Where is Elizabeth Duarte located?

Elizabeth Duarte practices at 281 Cusick Rd, Alcoa, TN 37701. The listed phone number is (865) 970-0025.

What is Elizabeth Duarte's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elizabeth Duarte enrolled in Medicare?

Yes. Elizabeth 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 Elizabeth Duarte accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Elizabeth 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 Elizabeth Duarte affiliated with any hospitals?

According to CMS data, Elizabeth Duarte is affiliated with Blount Memorial Hospital and University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Elizabeth Duarte was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.