DR. THERESE M DUANE (M.D.) – Surgical Critical Care Physician, NPI 1427131598
Surgical Critical Care Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
Provider Addresses for DR. THERESE M DUANE (M.D.)
1500 S MAIN ST STE 303
FORT WORTH, TX 761044917
Phone: (817) 927-1171
Fax: (817) 927-1605
Type: Location
999 N Curtis Rd Ste 415
Boise, ID 837061334
Phone: (208) 302-2600
Fax: (208) 302-2625
Type: Location
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 237082111
Phone: (757) 953-5000
Type: Mailing
Jack in the Box, Presidio Vista, Presidio Junction, Fort Worth, Tarrant County, Texas, 76244, United States
FORT WORTH, TX 761611205
Phone: (817) 740-8400
Fax: (817) 927-1605
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $4,650.
Total Amount is formed as General ($4,650) + Research ($0) + Ownership ($0) = $4,650.
Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Tetraphase Pharmaceuticals, Inc. ($4,627).
Total Amount
$4,650
General + Research + Ownership
Payments
2
Total payment records
General Amount
$4,650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tetraphase Pharmaceuticals, Inc. | $4,627 |
| Boston Scientific Corporation | $23 |
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: 2025-02-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20140822002040 | I | General Surgery | TX | TBD |
| I20240424002729 | I | General Surgery | ND | TBD |
| I20240528002970 | I | Critical Care (Intensivists) | ID | TBD |
| I20250228000705 | I | General Surgery | OK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Physician Assistant | TX | |
| - | TX | |
| General Surgery | OK | |
| General Surgery | PA | |
| - | TX | |
| - | NJ |
Reviews
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