Doctor profile · Federal record
Dr. Andrew Duarte, MD
Physical Medicine & Rehabilitation Physician (CMS: Physical Medicine and Rehabilitation) · Student in an Organized Health Care Education/Training Program · Worcester, MA
- NPI 1396270526
- Accepts Medicare
- MIPS 89.0 / 100 · 2023
- 9 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
119 Belmont St
Worcester, MA 016052903
(508) 334-5995
fax (508) 793-6504 - Additional location
-
550 1St Ave
New York, NY 10016
(646) 929-7870 - Mailing address
-
Po Box 415348
Boston, MA 022415348
Credentials & registration
- NPI registered
- April 2017 — 9 yrs on file
- Profile last updated
- August 16, 2022
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 208100000X — NUCC code
- State license (1)
- Massachusetts #292090
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396270526. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,025
Distinct HCPCS
10
Medicare allowed
$93,194
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 167 | 112 | $98 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 163 | 116 | $66 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 120 | 120 | $134 | |
64493 |
Injection of lower or sacral spine facet joint using imaging guidance, single level | 58 | 38 | $118 | |
64494 |
Injection of lower or sacral spine facet joint using imaging guidance, second level | 58 | 38 | $67 | |
20611 |
Aspiration and/or injection of fluid large joint using ultrasound guidance | 57 | 36 | $66 | |
64495 |
Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level | 50 | 33 | $69 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $83 | |
99442 |
Telephone medical discussion with physician, 11-20 minutes | 38 | 34 | $65 | |
99441 |
Telephone medical discussion with physician, 5-10 minutes | 35 | 27 | $35 |
In context: peer comparison
Among 2 peers in Worcester Physical Medicine & Rehabilitation Physician, average services per provider: 211. This provider delivers 4.9× the peer median.Open Payments
Industry payments received
All-time total
$1,717
Transactions
12
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pacira Pharmaceuticals Incorporated | 5 | $995.72 | |
| Saluda Medical Americas, INC. | 2 | $320.09 | |
| Vertos Medical, INC. | 2 | $160.03 | |
| Abbott Laboratories | 2 | $145.75 | |
| Spr Therapeutics, INC | 1 | $95.73 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
328
Patients
89
Total drug cost
$5,631
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Meloxicam | Generic | 95 | 39 | $290 |
| Gabapentin | Generic | 70 | 17 | $1,038 |
| Baclofen | Generic | 46 | 18 | $463 |
| Duloxetine Hcl | Generic | 34 | 15 | $1,793 |
| Cyclobenzaprine Hcl | Generic | 30 | 0 | $549 |
| Pregabalin | Generic | 25 | 0 | $751 |
| Diclofenac Sodium | Generic | 17 | 0 | $194 |
| Celecoxib | Generic | 11 | 0 | $552 |
Hospital affiliations
Frequently asked questions
What is Dr. Andrew Duarte's medical specialty?
Dr. Andrew Duarte practices Physical Medicine & Rehabilitation Physician in Worcester, MA.
Where does Dr. Andrew Duarte practice?
Dr. Andrew Duarte practices at 119 Belmont St, Worcester, MA 016052903. Office phone: 5083345995.
What is Dr. Andrew Duarte's NPI?
Dr. Andrew Duarte's National Provider Identifier (NPI) is 1396270526, issued by NPPES.
Does Dr. Andrew Duarte accept Medicare assignment?
Yes. Dr. Andrew Duarte accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Andrew Duarte commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.