NICHOLAS DUECK M.D.
NPI 1811429681
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY
About Nicholas Dueck M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS DUECK M.D. (NPI 1811429681) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of Creighton University School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
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
Nicholas Dueck M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicholas Dueck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boise, ID 83702
- Reassigned Medicare billing, Idaho enrollment
- 37 clinicians in this Medicare group
Boise, ID 83706
- Reassigned Medicare billing, Idaho and Oregon enrollments
- 37 clinicians in this Medicare group
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 53
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDSaint Alphonsus Medical Center - Nampa
Acute Care Hospitals · Nampa, IDTreasure Valley Hospital
Acute Care Hospitals · Boise, IDSaint Alphonsus Medical Center - Ontario
Acute Care Hospitals · Ontario, ORSt. Alphonsus Medical Center - Baker City
Critical Access Hospitals · Baker City, OROther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 Nicholas Dueck's NPI number?
The NPI number for Nicholas Dueck is 1811429681. It was assigned to this individual provider in the NPPES registry on March 31, 2017.
Where is Nicholas Dueck located?
Nicholas Dueck practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 686-2517.
What is Nicholas Dueck's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nicholas Dueck enrolled in Medicare?
Yes. Nicholas Dueck 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 Nicholas Dueck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Dueck reassigns Medicare benefits to 2 organizations: Intermountain Medical Imaging LLC (Boise, ID) and Gem State Radiology LLP (Boise, ID). 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 Nicholas Dueck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicholas Dueck affiliated with any hospitals?
According to CMS data, Nicholas Dueck is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa, Treasure Valley Hospital, Saint Alphonsus Medical Center - Ontario and St. Alphonsus Medical Center - Baker City.
When was this NPI record last updated?
The NPPES record for Nicholas Dueck was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.