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MR. PAUL EUGENE MCDUFFY FNP
NPI 1891516191
Nurse Practitioner - Family in Prospect Park, PA

Active since October 18, 2024PECOS Enrolled
1009 PENNSYLVANIA AVE, PROSPECT PARK, PA 19076(215) 787-7777 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Paul Eugene Mcduffy Fnp NPPES

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

MR. PAUL EUGENE MCDUFFY FNP (NPI 1891516191) is an individual family provider in Prospect Park, Pennsylvania, licensed in Pennsylvania (SP030996) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891516191
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. PAUL EUGENE MCDUFFYCredential: FNP
Location Address1009 PENNSYLVANIA AVEProspect Park, PA 19076-1319
Mailing Address1009 Pennsylvania AveProspect Park, PA 19076-1319 · (215) 787-7777
Phone(215) 787-7777
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1891516191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP030996
1009 PENNSYLVANIA AVE, Prospect Park, PA 19076
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Paul Eugene Mcduffy Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335675230
PECOS Enrollment IDI20241213003664
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Mcduffy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greater Philadelphia Health Action Inc.
3.2 mi
Federally Qualified Health Center (FQHC)
1489 BALTIMORE PIKE, BUILDING 300, SUITE 300, THE MILLS OF VICTORIA
Springfield, PA 19064
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 232 clinicians in this Medicare group
NPI 1467976001 (484) 472-7430
Rite Med Group Of PA PLLC
47 mi
Internal Medicine
2232 29TH ST SW
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 18 clinicians in this Medicare group
NPI 1962118000 (610) 797-4651

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19076 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Paul Mcduffy's NPI number?

The NPI number for Paul Mcduffy is 1891516191. It was assigned to this individual provider in the NPPES registry on October 18, 2024.

Where is Paul Mcduffy located?

Paul Mcduffy practices at 1009 Pennsylvania Ave, Prospect Park, PA 19076. The listed phone number is (215) 787-7777.

What is Paul Mcduffy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Paul Mcduffy enrolled in Medicare?

Yes. Paul Mcduffy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Mcduffy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Mcduffy reassigns Medicare benefits to 2 organizations: Greater Philadelphia Health Action Inc. (Springfield, PA) and Rite Med Group Of PA PLLC (Allentown, PA). 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 Paul Mcduffy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Mcduffy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul Mcduffy 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 Paul Mcduffy was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.