Individual provider Active NPI

Michael Craig Duffey, M.D.

  • Dermatology Physician
  • Lancaster, OH
National Provider Identifier
1417134248
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
088246 Issued in OH
Practice address
112 N Ewing St
Lancaster, OH 43130-3307
Phone
(740) 641-3477
Fax
(740) 687-1661
NPI assigned
Jan 23, 2008
Last updated
Feb 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 088246 OH Primary

Addresses

Primary practice location

112 N Ewing St
Lancaster, OH 43130-3307

Mailing address

112 N Ewing St
Lancaster, OH 43130-3307
Phone (740) 641-3477

Other identifiers 2

IdentifierTypeStateIssuer
2996558MedicaidOH
P00740465OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090901000348 OH Practitioner - Dermatology 9638224389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wright State University Boonshoft School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Surgical Dermatology IncGroup PAC ID 9739087602, 33 clinicians

Practice addresses (Care Compare)

1566 Monmouth Dr
Suite 201
Lancaster, OH 43130-8048
Phone (740) 687-1177

428 County Line Rd W
Westerville, OH 43082-7027
Phone (614) 847-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of skin lesions754
Removal or shaving of skin growth11
Skin biopsy238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
088246OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Surgical Dermatology Inc Dermatology CurrentSince Dec 1, 2018 Accepting new patients
CSD ASC LLC Past Accepting new patients

Locations

170 Northwoods Blvd
Ste 10
Columbus, OH 43235
Phone (614) 436-7188

2000 Newark Granville Rd
Ste 202
Granville, OH 43023
Phone (740) 587-3376

1566 Monmouth Dr
Ste 201
Lancaster, OH 43130
Phone (740) 653-2224

5040 Forest Dr
Ste 200
New Albany, OH 43054
Phone (614) 585-5500

235 W Schrock Rd
Westerville, OH 43081
Phone (614) 895-0400

428 County Line Rd W
Westerville, OH 43082
Phone (614) 847-4100

428 County Line Rd W
Ste 100
Westerville, OH 43082
Phone (614) 847-4100

817 Forest Ave
Zanesville, OH 43701
Phone (740) 454-7546

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1417134248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303307",
            "telephone_number": "740-641-3477",
            "fax_number": "740-687-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303307",
            "telephone_number": "740-641-3477",
            "fax_number": "740-687-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFEY",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "088246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2996558",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00740465",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.