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DR. MICHAEL R. DUCH M.D.
NPI 1962408856
Orthopaedic Surgery in Mercerville, NJ

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1225 WHITEHORSE MERCERVILLE RD, BLDG. D, SUITE 220, MERCERVILLE, NJ 08619(609) 581-2200(609) 581-1212 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael R. Duch M.d. NPPES

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

DR. MICHAEL R. DUCH M.D. (NPI 1962408856) is an individual orthopaedic surgery provider in Mercerville, New Jersey, licensed in New Jersey (25MA06567900) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains a secondary practice location in Hamilton.

NPPES Registry Identity

NPI1962408856
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL R. DUCHCredential: M.D.
Location Address1225 WHITEHORSE MERCERVILLE RD, BLDG. D, SUITE 220Mercerville, NJ 08619-3882
Mailing Address1225 Whitehorse Mercerville Rd, Bldg. D, Suite 220Mercerville, NJ 08619-3882 · (609) 581-2200 · Fax (609) 581-1212
Phone(609) 581-2200
Fax(609) 581-1212
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1990
Enumeration DateJune 24, 2005
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1962408856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NJ · 25MA06567900✔ Licensed in PA · MD047822L
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1225 WHITEHORSE MERCERVILLE RD, Mercerville, NJ 08619
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Secondary Practice Location 1

Location 11 Hamilton Health Pl Ste 101Hamilton, NJ 08690-3542 · Phone (609) 689-7031

Other Identifiers 1

Medicaid7324308NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Michael R. Duch 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 ID2264336130
PECOS Enrollment IDI20031121000615
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
3,940 services304 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
884 services289 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
463 services262 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
378 services78 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
125 services125 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
49 services35 patients

Hospital Affiliations CMS Care Compare 2

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08619 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

TRENTON ORTHOPAEDIC GROUP, PA
Physician Assistant (Surgical)
1225 WHITEHORSE MERCERVILLE RD, BLDG. D, SUITE 220
MERCERVILLE, NJ 08619
Mercer County (609) 581-2200
MS. CONNIE R. KARTOZ MS, RN, CRNP
Nurse Practitioner (Family)
1225 WHITEHORSE MERCERVILLE RD, SUITE 206
HAMILTON, NJ 08619
Mercer County (609) 581-5150
LIFECARE PHYSICIANS, P.C.
Psychiatry & Neurology (Neurology)
1225 WHITEHORSE MERCERVILLE RD, SUITE 203
HAMILTON, NJ 08619
Mercer County (609) 581-6060
DR. DAREN J. AITA M.D.
Orthopaedic Surgery
1225 WHITEHORSE MERCERVILLE RD, BLDG. D. SUITE 220
MERCERVILLE, NJ 08619
Mercer County (609) 581-2200
DAVID BRESCH MD
Psychiatry & Neurology (Psychiatry)
1225 WHITEHORSE MERCERVILLE RD, BUILDING D, SUITE 203
HAMILTON, NJ 08619
Mercer County (609) 581-6087
MR. KYLE CHRISTIAN PILLITTERI PA-C
Physician Assistant
1225 WHITEHORSE MERCERVILLE RD, BLDG. D, SUITE 220
MERCERVILLE, NJ 08619
Mercer County (609) 581-2200
CONTEMPORARY PEDIATRIC & ADOLESCENT MEDICINE, PC
Pediatrics
1225 WHITEHORSE MERCERVILLE RD, BLDG D SUITE 203
MERCERVILLE, NJ 08619
Mercer County (609) 581-5100
DR. JOHN J. DIBIASE MD
Orthopaedic Surgery
1225 WHITEHORSE MERCERVILLE RD, BLDG. D, SUITE 220
MERCERVILLE, NJ 08619
Mercer County (609) 581-2200

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 Michael Duch's NPI number?

The NPI number for Michael Duch is 1962408856. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Michael Duch located?

Michael Duch practices at 1225 Whitehorse Mercerville Rd Bldg. D, Suite 220, Mercerville, NJ 08619. The listed phone number is (609) 581-2200.

What is Michael Duch's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Duch enrolled in Medicare?

Yes. Michael Duch 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 Michael Duch accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael Duch 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 Michael Duch affiliated with any hospitals?

According to CMS data, Michael Duch is affiliated with University Medical Center Of Princeton At Plainsboro and Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Michael Duch was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.