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DR. DARIN DUFAULT M.D.
NPI 1972824787
Internal Medicine - Gastroenterology in Charleston, SC

Active since June 15, 2010PECOS EnrolledAccepts Medicare Assignment
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425(843) 876-1344 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Darin Dufault M.d. NPPES

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

DR. DARIN DUFAULT M.D. (NPI 1972824787) is an individual gastroenterology provider in Charleston, South Carolina, licensed in North Carolina (2016-00551) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Wake Forest University School Of Medicine (2010).

NPPES Registry Identity

NPI1972824787
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DARIN DUFAULTCredential: M.D.
Location Address169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333Charleston, SC 29425-8905
Mailing Address40 Duke Medicine Cir, Room 202 Main Hospital, Msc 333Durham, NC 27710-4000 · (919) 684-6437
Phone(843) 876-1344
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2010
Enumeration DateJune 15, 2010
Last NPPES UpdateJune 27, 2016
✔ NPI 1972824787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · 2016-00551
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License LL32658 (SC)
169 ASHLEY AVE, Charleston, SC 29425
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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. Darin Dufault 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 ID2466670245
PECOS Enrollment IDI20160803002676
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 7

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
55 services55 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services36 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 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.
23 services22 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

MR. BRUCE ALAN REEVES PT
Physical Therapist (Orthopedic)
169 ASHLEY AVE, ROOM, 3SW WING
CHARLESTON, SC 29425
Charleston County (843) 792-3481
KRISTINA CALAMIA
Health and Wellness Coach
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3881
EMILY MCGILL MD
Anesthesiology
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-2185
PAIGE WOODHAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-1086
KATIE FLOWER M.D.
Surgery
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL
CHARLESTON, SC 29425
Charleston County (216) 385-5459
JENNIE HYEJIN KWON MD
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3072
DR. BRIAN ELLIS JACOBS MD
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
HANNAH ELIZABETH PRESSLER
Internal Medicine
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 754-7275

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 Darin Dufault's NPI number?

The NPI number for Darin Dufault is 1972824787. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Darin Dufault located?

Darin Dufault practices at 169 Ashley Ave Room 202 Main Hospital, Msc 333, Charleston, SC 29425. The listed phone number is (843) 876-1344.

What is Darin Dufault's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Darin Dufault enrolled in Medicare?

Yes. Darin Dufault 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 Darin Dufault accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Darin Dufault 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 Darin Dufault affiliated with any hospitals?

According to CMS data, Darin Dufault is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Darin Dufault was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.