DR. KEVIN R DUKE (D.O.) – Family Medicine Physician, NPI 1003882713

DR. KEVIN R DUKE (D.O.) is a healthcare provider. based in Providence, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 290545-1204 (UT). The NPI Number for DR. KEVIN R DUKE (D.O.) is 1003882713

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN R DUKE (D.O.)
NPI
1003882713
Phone
(435) 752-0330
Address
382 W 280 N
Enumeration Date
23 February 2006
Last Update Date
11 May 2021

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
4355656043
Graduation Year
1999 (27 years ago)
PAC ID
8820028673
Group Practice PAC ID
5294128963
Professional Enrollment ID
I20111219000058
Address ID
UT843412321LO1219X400X300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

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Provider Addresses for DR. KEVIN R DUKE (D.O.)

  • 382, 280 North, Providence, Cache County, Utah, 84332, United States

    PROVIDENCE, UT 843320609

    Phone: (435) 752-0330

    Fax: (435) 755-0922

    Type: Location

  • 1219 N 400 E

    NORTH LOGAN, UT 843412321

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,296.

Total Amount is formed as General ($1,296) + Research ($0) + Ownership ($0) = $1,296.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($343).

Total Amount

$1,296

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,296

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-12-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111219000058IFamily PracticeUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10871$0
99214Established patient office or other outpatient visit, 30-39 minutes7047$0
36415Insertion of needle into vein for collection of blood sample5351$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3636$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 84332)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294128963View full group profile
NameSpecialtyState
Family PracticeUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Does DR. KEVIN R DUKE (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KEVIN R DUKE (D.O.) uses 1003882713.
Can I rely on DR. KEVIN R DUKE (D.O.) being an active provider?
As of the registry snapshot, DR. KEVIN R DUKE (D.O.) is marked active.
What is DR. KEVIN R DUKE (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. KEVIN R DUKE (D.O.) here. Clinical services aligned with this taxonomy classification.
What area does DR. KEVIN R DUKE (D.O.) serve?
DR. KEVIN R DUKE (D.O.)'s listing highlights Providence, Utah; more addresses can appear in NPPES.
Why does DR. KEVIN R DUKE (D.O.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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