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DR. JOAN M DUGGAN M.D.
NPI 1891780300
Internal Medicine - Infectious Disease in Toledo, OH

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
3125 TRANSVERSE DR., TOLEDO, OH 43614(419) 383-3780(419) 383-2852 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2026, Nov 14, 2025, Oct 20, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Joan M Duggan M.d. NPPES

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

DR. JOAN M DUGGAN M.D. (NPI 1891780300) is an individual infectious disease provider in Toledo, Ohio, licensed in Ohio (35063775) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and maintains 11 additional practice locations.

NPPES Registry Identity

NPI1891780300
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JOAN M DUGGANCredential: M.D.
Location Address3125 TRANSVERSE DR.Toledo, OH 43614-5809
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595 · (419) 383-5322
Phone(419) 383-3780
Fax(419) 383-2852
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1989
Enumeration DateSeptember 12, 2005
Last NPPES UpdateFebruary 5, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1891780300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 35063775
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.063775 (OH)
3125 TRANSVERSE DR., Toledo, OH 43614
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Secondary Practice Locations 11

Location 1501 Van Buren StFostoria, OH 44830-1534 · Phone (419) 435-7734
Location 25200 Harroun RdSylvania, OH 43560-2168 · Phone (419) 824-1444
Location 3718 N Macomb StMonroe, MI 48162-7815 · Phone (734) 240-8400
Location 45700 Monroe St Unit 204BSylvania, OH 43560-2735 · Phone (567) 585-0675 · Fax (567) 585-0676
Location 52100 W Central Ave Ste 200Toledo, OH 43606-3817 · Phone (567) 420-1600 · Fax (419) 383-3338
Location 62901 N Reynolds RdToledo, OH 43615-2035 · Phone (419) 578-7700
Location 7715 S Taft AveFremont, OH 43420-3237 · Phone (419) 332-7321
Location 81200 Ralston AveDefiance, OH 43512-9908 · Phone (419) 783-6955
Location 92801 Bay Park DrOregon, OH 43616-4920 · Phone (419) 690-7900
Location 10274 E Chicago StColdwater, MI 49036-2041 · Phone (517) 279-5400
Location 115640 N Adrian HwyAdrian, MI 49221-8318 · Phone (517) 577-0000

Other Identifiers 1

Medicaid0181137OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Joan M Duggan 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.

PECOS PAC ID5193612554
PECOS Enrollment IDI20040301000943
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 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
62 services36 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.
38 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services29 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
41%197 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
22%45 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%3,318 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
52%124 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%141 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
48%444 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%426 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%444 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
30%444 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
36%444 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Joan Duggan's NPI number?

The NPI number for Joan Duggan is 1891780300. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Joan Duggan located?

Joan Duggan practices at 3125 Transverse Dr., Toledo, OH 43614. The listed phone number is (419) 383-3780.

What is Joan Duggan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Joan Duggan enrolled in Medicare?

Yes. Joan Duggan 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 Joan Duggan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Joan Duggan 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 Joan Duggan affiliated with any hospitals?

According to CMS data, Joan Duggan is affiliated with University Of Toledo Medical Center and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Joan Duggan was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.