ROBERT DUARTE MD
NPI 1841379054
Psychiatry & Neurology - Neurology in Great Neck, NY

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
611 NORTHERN BLVD, GREAT NECK, NY 11021(516) 719-7246 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Robert Duarte Md NPPES

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

ROBERT DUARTE MD (NPI 1841379054) is an individual neurology provider in Great Neck, New York, licensed in New York (183848) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Ponce School Of Medicine (1986).

NPPES Registry Identity

NPI1841379054
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameROBERT DUARTECredential: MD
Location Address611 NORTHERN BLVDGreat Neck, NY 11021-5207
Mailing Address611 Northern BlvdGreat Neck, NY 11030-3006 · (516) 325-7000
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1986
Enumeration DateNovember 6, 2006
Last NPPES UpdateAugust 8, 2012
NPI 1841379054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 183848
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
611 NORTHERN BLVD, Great Neck, NY 11021

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

Robert 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 ID1951351758
PECOS Enrollment IDI20050128000938
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 9

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
25,857 services39 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.
149 services64 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.
112 services81 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
109 services39 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.
72 services72 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330107
Location1 Heros WayRiverhead, NY 11901 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
611 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 11021
Radiology (Diagnostic Radiology)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Dentist
611 NORTHERN BLVD
GREAT NECK, NY 11021
Psychiatry & Neurology (Neurology)
611 NORTHERN BLVD, SUITE 150
GREAT NECK, NY 11021
Nurse Practitioner (Family)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Orthopaedic Surgery
611 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 11021
Nurse Practitioner (Adult Health)
611 NORTHERN BLVD
GREAT NECK, NY 11021
Nurse Practitioner (Acute Care)
611 NORTHERN BLVD
GREAT NECK, NY 11021

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 Robert Duarte's NPI number?

The NPI number for Robert Duarte is 1841379054. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Robert Duarte located?

Robert Duarte practices at 611 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 719-7246.

What is Robert Duarte's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Robert Duarte enrolled in Medicare?

Yes. Robert 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.

Is Robert Duarte affiliated with any hospitals?

According to CMS data, Robert Duarte is affiliated with North Shore University Hospital and Peconic Bay Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Duarte was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.