Andrew Duarte, MD
NPI 1396270526 · Physical Medicine & Rehabilitation Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Duarte, MD is a Physical Medicine & Rehabilitation Physician provider in Worcester, MA (NPI 1396270526).
Provider details
- NPI number
- 1396270526
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 292090 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,280 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 237 | $65 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 185 | $97 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 101 | $132 |
| Telephone Medical Discussion With Physician, 5-10 Minutes99441 | 86 | $57 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 79 | $64 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 92 | 23 |
| Meloxicam | 88 | 38 |
| Duloxetine Hcl | 51 | 16 |
| Diclofenac Sodium | 36 | 13 |
| Baclofen | 31 | 13 |
| Pregabalin | 29 | — |
| Cyclobenzaprine Hcl | 23 | — |
| Celecoxib | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,717 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 550 1st AveNew York, NY 10016Phone: (646) 929-7870
Registry dates
- Enumerated
- 2017-04-25
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Frequently asked questions
- What is Andrew Duarte's NPI number?
- Andrew Duarte's National Provider Identifier (NPI) is 1396270526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Duarte's specialty?
- Andrew Duarte is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Andrew Duarte located?
- Andrew Duarte's practice location on file with NPPES is 119 Belmont St, Worcester, MA 01605-2903.
- What is Andrew Duarte's phone number?
- The practice phone number listed in the NPPES registry for Andrew Duarte is (508) 334-5995.
- Does Andrew Duarte accept Medicare?
- Andrew Duarte is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Duarte's NPI active?
- Yes — Andrew Duarte's NPI (1396270526) is active in the NPPES registry as of the last update on 2022-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.