DR. JAIME ENRIQUE DUARTE MD
NPI 1861553174
Family Medicine in Houston, TX

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
3003 NAVIGATION BLVD, HOUSTON, TX 77003(713) 223-4466 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jaime Enrique Duarte Md NPPES

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

DR. JAIME ENRIQUE DUARTE MD (NPI 1861553174) is an individual family medicine provider in Houston, Texas, licensed in Texas (L5312) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1861553174
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAIME ENRIQUE DUARTECredential: MD
Location Address3003 NAVIGATION BLVDHouston, TX 77003-1239
Mailing Address3003 Navigation BlvdHouston, TX 77003-1239 · (713) 223-4466 · Fax (713) 223-1571
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 12, 2006
Last NPPES UpdateMarch 21, 2018
NPI 1861553174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · L5312
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.
3003 NAVIGATION BLVD, Houston, TX 77003

Other Identifiers 4

Medicaid163266303TX
Other7893532TX · Aetna Id
Medicaid163266301TX
Other8S0530TX · Blue Cross Id

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

Dr. Jaime Enrique 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 ID9830122886
PECOS Enrollment IDI20050912000551
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 20

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
185 services30 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
169 services13 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.
150 services41 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
104 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
96 services41 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
96 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77003 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims26 services$5.07 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers574 claims3,179 services$214.32 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier133 claims133 services$210.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
3003 NAVIGATION BLVD
HOUSTON, TX 77003
Family Medicine
3003 NAVIGATION BLVD
HOUSTON, TX 77003
Physician Assistant
3003 NAVIGATION BLVD
HOUSTON, TX 77003
Physician Assistant
3003 NAVIGATION BLVD
HOUSTON, TX 77003
Nurse Practitioner (Family)
3003 NAVIGATION BLVD
HOUSTON, TX 77003
Family Medicine
3003 NAVIGATION BLVD
HOUSTON, TX 77003
Physician Assistant (Medical)
3003 NAVIGATION BLVD
HOUSTON, TX 77003

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 Jaime Duarte's NPI number?

The NPI number for Jaime Duarte is 1861553174. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Jaime Duarte located?

Jaime Duarte practices at 3003 Navigation Blvd, Houston, TX 77003. The listed phone number is (713) 223-4466.

What is Jaime Duarte's specialty?

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

Is Jaime Duarte enrolled in Medicare?

Yes. Jaime 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 Jaime Duarte accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Jaime 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.

When was this NPI record last updated?

The NPPES record for Jaime Duarte was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.