KAREN DUANE
NPI 1912486747
Physician Assistant - Surgical in Albany, NY

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
48 NEW SCOTLAND AVE, ALBANY, NY 12208(518) 262-3125 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen Duane NPPES

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

KAREN DUANE (NPI 1912486747) is an individual surgical provider in Albany, New York and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912486747
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKAREN DUANE
Location Address48 NEW SCOTLAND AVEAlbany, NY 12208
Mailing Address705 N River Forest DrMarietta, GA 30068-4523 · (404) 539-4629
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 13, 2018
NPI 1912486747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
48 NEW SCOTLAND AVE, Albany, NY 12208

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

Karen Duane 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 ID2062764426
PECOS Enrollment IDI20181012000362
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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 Karen Duane's NPI number?

The NPI number for Karen Duane is 1912486747. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Karen Duane located?

Karen Duane practices at 48 New Scotland Ave, Albany, NY 12208. The listed phone number is (518) 262-3125.

What is Karen Duane's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Karen Duane enrolled in Medicare?

Yes. Karen Duane 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 Karen Duane affiliated with any hospitals?

According to CMS data, Karen Duane is affiliated with St Peter's Hospital.

When was this NPI record last updated?

The NPPES record for Karen Duane was last updated on August 13, 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.