Duane Scott Mortenson, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2654 Issued in AZ

Practice address

1595 E River Rd
Suite 201
Tucson, AZ 85718-5981

Phone

(520) 293-5757

Fax

(520) 293-7358

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sheftel and Associates Dermatology LLPGroup PAC ID 7911990304, 18 clinicians

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.17 of 100Reported as group

Quality

64.43

Promoting interoperability

84

Improvement activities

40

Cost

79.47

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Gilbert, AZ
  • NPI 1396340162
  Medicare reassignment Care Compare group
• Sheftel & Associates Dermatology, LLP

  • Specialist
  • Tucson, AZ
  • NPI 1750380697
  Medicare reassignment Care Compare group
• Arizona Associates in Dermatology and Cosmetic Surgery, LLC

  • Dermatology Physician
  • Prescott, AZ
  • NPI 1659467397
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Prescott, AZ
  • NPI 1376208868
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1972719102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 E RIVER RD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185981",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 E RIVER RD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185981",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "DUANE",
        "middle_name": "SCOTT",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Michelle Morse, MA
• Lynn M Morski, M.D.
• Kayvaan M Mortazavi, MD
• Mohammed Mortazavi, MD
• Zachary Van Mortensen, MD
• Kevin M Mortenson, D.M.D.
• Vanessa Morton, PT, DPT
• Veronica Morvay, DNP CRNA
• Savannah Faith Mory, PA
• Mosaic Infusion Solutions LLC

• Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.