Individual provider Active NPI

Cameron Dewayne Duffy, M.D.

  • Family Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1306874839
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19195 Issued in WV
Practice address
37 Veronica Dr
Martinsburg, WV 25404-3756
Phone
(304) 671-2582
Fax
(724) 660-4233
NPI assigned
Jun 30, 2006
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19195 WV Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 19195 WV

Addresses

Primary practice location

37 Veronica Dr
Martinsburg, WV 25404-3756

Mailing address

808 Jerry CT
Martinsburg, WV 25401-1783
Phone (304) 262-8901

Other identifiers 4

IdentifierTypeStateIssuer
000954023OtherWVBLUE CROSS/BLUE SHIELD
0135178 00MedicaidMD
P0216471OtherWVRAILROAD MEDICARE
1801943000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031201000343 WV Practitioner - Addiction MedicinePractitioner - Internal MedicinePractitioner - Family Practice 8820993140 Reassigns benefits to 1 organization
I20231004000344 MD Practitioner - Family PracticePractitioner - Addiction Medicine 8820993140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Internal Medicine
Education
West Virginia University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brighter Horizons Health Center LLCGroup PAC ID 2365871977, 2 clinicians

Practice addresses (Care Compare)

37 Veronica Dr
Martinsburg, WV 25404-3756
Phone (681) 247-2180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19195WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Horizons Health Center LLC Addiction Medicine CurrentSince Mar 27, 2020 Accepting new patients
Phoenix Health Center LLC CurrentSince Sep 22, 2021 Accepting new patients
United Physicians Care Inc Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Patient Transportation Inc PastSince Aug 8, 2014 Accepting new patients

Locations

217 E Antietam St
Hagerstown, MD 21740
Phone (240) 420-0000

217 E Antietam St
Rm 100
Hagerstown, MD 21740
Phone (240) 420-0000

5001 Spring Vly
Ste 600E
Dallas, TX 75244

37 Veronica Dr
Martinsburg, WV 25404
Phone (304) 264-4020

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1306874839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 JERRY CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011783",
            "telephone_number": "304-262-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 VERONICA DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043756",
            "telephone_number": "304-671-2582",
            "fax_number": "724-660-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "CAMERON",
        "middle_name": "DEWAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "19195",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WV",
            "license": "19195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000954023",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135178 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0216471",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801943000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.