DR. MARK DUFF DO
NPI 1992782031
Family Medicine in Buckeye, WV

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
150 DUNCAN RD, BUCKEYE, WV 24924(304) 799-7400 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2018, Nov 10, 2017, Dec 24, 2016 (3 updates tracked since 2016).

About Dr. Mark Duff Do NPPES

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

DR. MARK DUFF DO (NPI 1992782031) is an individual family medicine provider in Buckeye, West Virginia, licensed in West Virginia (1446) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and maintains a secondary practice location in Bluefield.

NPPES Registry Identity

NPI1992782031
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK DUFFCredential: DO
Location Address150 DUNCAN RDBuckeye, WV 24924
Mailing Address150 Duncan RdBuckeye, WV 24924-9037 · (304) 799-1090 · Fax (304) 799-6636
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1993
Enumeration DateDecember 29, 2005
Last NPPES UpdateAugust 6, 20183 updates tracked since enumeration
NPI 1992782031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WV · 1446 Licensed in KY · 03315
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 1446 (WV)
Also ListedHospitalistTaxonomy 208M00000X · License 1446 (WV)
150 DUNCAN RD, Buckeye, WV 24924

Secondary Practice Location 1

Location 1500 Cherry StBluefield, WV 24701-3306 · Phone (304) 327-1100

Other Identifiers 7

Other001722627WV · Blue Cross Blue Shield
Other001714924WV · Wv Bcbs
Medicaid2851838OH
Other1064385WV · Wv Dwc
Medicaid0045353000WV
Medicaid7100046790KY
OtherP00881466KY · Rr Medicare

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

Dr. Mark Duff Do 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 ID9931000858
PECOS Enrollment IDI20040416000050, I20200305001175
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
73 services69 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
43 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24924 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%45 patients4/55-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.

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.

General Acute Care Hospital (Critical Access)
150 DUNCAN RD
BUCKEYE, WV 24924
Emergency Medicine
150 DUNCAN RD
BUCKEYE, WV 24924
Emergency Medicine
150 DUNCAN RD
BUCKEYE, WV 24924
Physical Therapy Assistant
150 DUNCAN RD
BUCKEYE, WV 24924
Family Medicine
150 DUNCAN RD
BUCKEYE, WV 24924
Physician Assistant (Medical)
150 DUNCAN RD
BUCKEYE, WV 24924
Physician Assistant (Medical)
150 DUNCAN RD
BUCKEYE, WV 24924
Occupational Therapist
150 DUNCAN RD
BUCKEYE, WV 24924

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 Mark Duff's NPI number?

The NPI number for Mark Duff is 1992782031. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Mark Duff located?

Mark Duff practices at 150 Duncan Rd, Buckeye, WV 24924. The listed phone number is (304) 799-7400.

What is Mark Duff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Duff enrolled in Medicare?

Yes. Mark Duff 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 Mark Duff accept?

Health plans from CareSource, Medica and University of Utah Health Plans list Mark Duff 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 Mark Duff affiliated with any hospitals?

According to CMS data, Mark Duff is affiliated with Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Duff was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.