RAFAEL O DUCHESNE (M.D.) – Nephrology Physician, NPI 1588657332
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
431 NEPHROLOGY in GA
Loading map...
Provider Addresses for RAFAEL O DUCHESNE (M.D.)
1506, Broadrick Drive, Dalton, Whitfield County, Georgia, 30720, United States
DALTON, GA 307203011
Phone: (706) 278-3430
Fax: (706) 279-1327
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 148 Open Payments records for all available years, with a total value of $2,727.
Total Amount is formed as General ($2,727) + Research ($0) + Ownership ($0) = $2,727.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($400).
Total Amount
$2,727
General + Research + Ownership
Payments
148
Total payment records
General Amount
$2,727
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110324000167 | I | Nephrology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 881 | 483 | $0 |
| 81003 | Automated urinalysis test | 782 | 484 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 699 | 459 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 601 | 391 | $0 |
| 84156 | Total protein level, urine | 515 | 380 | $0 |
Insurance plans in this area (ZIP 30720)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | GA | 90935 | Hemodialysis procedure with one physician evaluation | 213 | 78 |
| NEPHROLOGY | GA | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 377 | 125 |
| NEPHROLOGY | GA | 90966 | Home dialysis services per month, patient 20 years of age or older | 120 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | GA | |
| Internal Medicine, Nephrology | ME | |
| Nephrology, Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| N E P H R O L O G Y | NY | |
| Nurse Practitioner | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.