NICHOLE D VAN DUYNE D.O.
NPI 1992732556
Internal Medicine - Pulmonary Disease in Kansas City, MO

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6420 PROSPECT AVE, STE T-303, KANSAS CITY, MO 64132(816) 333-1919(816) 333-2614 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nichole D Van Duyne D.o. NPPES

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

NICHOLE D VAN DUYNE D.O. (NPI 1992732556) is an individual pulmonary disease provider in Kansas City, Missouri, licensed in Missouri (2008026684) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Research Medical Center, and is a graduate of Kansas City University Of Physicians And Surgeons (2004).

NPPES Registry Identity

NPI1992732556
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameNICHOLE D VAN DUYNECredential: D.O.
Location Address6420 PROSPECT AVE, STE T-303Kansas City, MO 64132-4147
Mailing Address6420 Prospect Ave, Ste T-303Kansas City, MO 64132-4147 · (816) 333-1919 · Fax (816) 333-2614
Fax(816) 333-2614
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2004
Enumeration DateJune 27, 2006
Last NPPES UpdateJanuary 13, 2022
NPI 1992732556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MO · 2008026684
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
6420 PROSPECT AVE, Kansas City, MO 64132

Other Names 1

Former Name (1)Nichole D Clark D.o.

Accepted 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

Nichole D Van Duyne D.o. 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 ID2961674254
PECOS Enrollment IDI20111010000514
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.

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.
160 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
129 services57 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
109 services46 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.
104 services60 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.
36 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Research Medical Center

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260027
Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County
Emergency services Birthing friendly

Golden Valley Memorial Hospital

Acute Care Hospitals · Clinton, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260175
Location1600 N 2nd StClinton, MO 64735 · Henry County
Emergency services Birthing friendly

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipProprietary
CMS Certification Number260190
Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County
Emergency services

Belton Regional Medical Center

Acute Care Hospitals · Belton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260214
Location17065 S 71 HighwayBelton, MO 64012 · Cass County
Emergency services

Cass Regional Medical Center

Critical Access Hospitals · Harrisonville, MO
OwnershipGovernment - Local
CMS Certification Number261324
Location2800 E Rock Haven RoadHarrisonville, MO 64701 · Cass County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64132 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.17
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
75%236 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%922 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
93%320 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
63%507 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 255 patients
Patients screened: 100% · 255 patients
87%38 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%206 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 334 patients
Patients totalRate: 0% · 334 patients
0%334 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers15 claims29 services$1.19 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers14 claims14 services$77.65 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers14 claims35 services$29.72 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers13 claims13 services$15.77 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers15 claims15 services$10.50 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers23 claims107 services$1.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center
6420 PROSPECT AVE, SUITE T411
KANSAS CITY, MO 64132
Pediatrics
6420 PROSPECT AVE, STE T403
KANSAS CITY, MO 64132
Internal Medicine (Pulmonary Disease)
6420 PROSPECT AVE, T303
KANSAS CITY, MO 64132
Physical Medicine & Rehabilitation
6420 PROSPECT AVE, T-419
KANSAS CITY, MO 64132
Internal Medicine (Pulmonary Disease)
6420 PROSPECT AVE, SUITE T303
KANSAS CITY, MO 64132
Internal Medicine (Cardiovascular Disease)
6420 PROSPECT AVE, T-509
KANSAS CITY, MO 64132
Internal Medicine (Pulmonary Disease)
6420 PROSPECT AVE, T-303
KANSAS CITY, MO 64132
Surgery
6420 PROSPECT AVE, T-207
KANSAS CITY, MO 64132

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 Nichole Van Duyne's NPI number?

The NPI number for Nichole Van Duyne is 1992732556. It was assigned to this individual provider in the NPPES registry on June 27, 2006. The provider is also known as Nichole D Clark D.O..

Where is Nichole Van Duyne located?

Nichole Van Duyne practices at 6420 Prospect Ave Ste T-303, Kansas City, MO 64132. The listed phone number is (816) 333-1919.

What is Nichole Van Duyne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nichole Van Duyne enrolled in Medicare?

Yes. Nichole Van Duyne 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 Nichole Van Duyne accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Nichole Van Duyne 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 Nichole Van Duyne affiliated with any hospitals?

According to CMS data, Nichole Van Duyne is affiliated with Research Medical Center, Golden Valley Memorial Hospital, Lee's Summit Medical Center, Belton Regional Medical Center and Cass Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nichole Van Duyne was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.