JAMIE MICHELLE DUCK (PA-C) – Physician Assistant, NPI 1356419428
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for JAMIE MICHELLE DUCK (PA-C)
610 WEST MAIN STREET
WILMINGTON, OH 45177
Phone: (937) 382-6611
Type: Location
7950 W Jefferson Blvd
Fort Wayne, IN 468044140
Phone: (260) 435-2699
Type: Location
PO BOX 635004
Cincinnati, OH 452635004
Phone: (260) 435-2699
Type: Location
3170 KETTERING BLVD
BUILDING B 3RD FLOOR
MORAINE, OH 454391924
Phone: (937) 991-3188
Fax: (937) 223-9811
Type: Mailing
172 DEER TRAIL DR
SPRINGBORO, OH 450669540
Phone: (740) 350-5899
Fax: (937) 223-9811
Type: Mailing
1500, Grand Central Avenue, Vienna, Wood County, West Virginia, 26105, United States
VIENNA, WV 261051079
Phone: (304) 485-3627
Fax: (304) 295-2315
Type: Location
100, Rauch Drive, Marietta, Marietta Township, Washington County, Ohio, 45750, United States
MARIETTA, OH 457509700
Phone: (740) 350-5899
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
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 |
|---|---|---|---|---|
| I20070202000337 | I | Physician Assistant | WV | TBD |
| I20100929000068 | I | Physician Assistant | OH | TBD |
| I20230328002408 | I | Physician Assistant | NM | TBD |
| I20230901001434 | I | Physician Assistant | CA | TBD |
| I20231024000236 | I | Physician Assistant | IN | TBD |
| I20231127001060 | I | Physician Assistant | NY | TBD |
| I20241031003123 | I | Physician Assistant | KY | TBD |
| I20250505000458 | I | Physician Assistant | NC | TBD |
| I20251209001241 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 94 | 89 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 92 | 88 | $0 |
| 99291 | Critical care, first 30-74 minutes | 25 | 25 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 20 | $0 |
Insurance plans in this area (ZIP 45177)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH |
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