GREGORY DUMA MD
NPI 1922328673
Obstetrics & Gynecology - Obesity Medicine in Hamilton, OH
NPI Status: Active since June 04, 2010
Contact Information
3300 PRINCETON RD
HAMILTON, OH
ZIP 45011
Phone: (513) 868-9999
Fax: (513) 868-8898
- Individual
- Male
- Obstetrics & Gynecology
- Obesity Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About GREGORY DUMA
This page provides the complete NPI Profile along with additional information for Gregory Duma, a women's health care provider established in Hamilton, Ohio with a medical specialization in Obstetrics & Gynecology, focusing in obesity medicine . The healthcare provider is registered in the NPI registry with number 1922328673 assigned on June 2010. The practitioner's primary taxonomy code is 207VB0002X with license number 28974 (KY). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1922328673
- Provider Name
- GREGORY DUMA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3300 PRINCETON RD HAMILTON, OH 45011
- Location Phone
- (513) 868-9999
- Location Fax
- (513) 868-8898
- Mailing Address
- 118 W 5TH ST COVINGTON, KY 41011
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-04-2010
- Last Update Date
- 10-13-2021
- Code Navigator
Women's health care providers like Gregory Duma treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Obesity Medicine
- Taxonomy Code
- 207VB0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 28974
- License State
- KY
- Taxonomy Description
- An obstetrics & gynecology physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0177606 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Gregory Duma is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 45011 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.12
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 0% | 34 |
| Cervical Cancer Screening | 0% | 70 |
| Documentation of Current Medications in the Medical Record | 100% | 186 |
| Falls: Screening for Future Fall Risk | 0% | 24 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 16% | 180 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 0% | 190 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 29% | 175 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 57 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 57 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 26 |
| Use of High-Risk Medications in Older Adults | 4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 26 |
| Use of High-Risk Medications in Older Adults | 4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 26 |
Reviews for GREGORY DUMA MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922328673, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
FAIRFIELD TOWNSHIP, OH 45011
FAIRFIELD TOWNSHIP, OH 45011
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922328673, enumerated as an "individual" on June 04, 2010.
The provider is located at 3300 PRINCETON RD HAMILTON, OH 45011 and the phone number is (513) 868-9999.
Obstetrics & Gynecology with taxonomy code 207VB0002X and a focus in Obesity Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
