Active NPI 1356683684 Individual Practitioner Male Practitioner

Dr. Nicholas Shane Duca , MD

Internal Medicine • Hershey, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Duca, MD is a certified Internal Medicine practicing in Hershey, PA. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Duca delivers high-quality medical care to the local community at 500 UNIVERSITY DR.

Dr. Duca is affiliated with The Milton S Hershey Medical Center Physicians Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 University Dr

Hershey, PA 170332360

Telephone 7175318161

Fax 7175317726

Associated Practice Facility / Clinic

🏢 The Milton S Hershey Medical Center Facility NPI 1568435477

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hershey, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -3.4 yrs vs City Avg

City Avg: 16.4 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

128 Specialists

Practicing in Hershey, PA (7609 Statewide)

Telehealth Adoption Rate

18.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duca (13 Years) 13 Yrs

Hershey Specialty Average (16.4 Years) 16.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	161	103	$58.00	$15.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	69	$360.00	$92.17
99213 Established patient office or other outpatient visit, typically 15 minutes	93	84	$245.00	$63.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	92	55	$534.00	$138.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	86	$360.00	$95.23
99213 Established patient office or other outpatient visit, typically 15 minutes	96	84	$245.00	$63.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	47	$534.00	$137.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	102	$316.55	$96.12
99213 Established patient office or other outpatient visit, typically 15 minutes	83	70	$210.86	$65.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	30	$421.26	$141.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	68	$209.00	$99.22
99213 Established patient office or other outpatient visit, typically 15 minutes	80	67	$136.00	$67.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	19	$295.00	$146.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	12	$243.00	$71.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$436.00	$131.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	13	$351.00	$102.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	24	$351.00	$104.53
99213 Established patient office or other outpatient visit, typically 15 minutes	54	45	$136.00	$51.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	38	$209.00	$79.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	19	$243.00	$72.78
99443 Telephone medical discussion with physician, 21-30 minutes	26	23	$187.77	$79.68
99238 Hospital discharge day management, 30 minutes or less	20	20	$222.00	$69.42
99442 Telephone medical discussion with physician, 11-20 minutes	19	16	$112.00	$51.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	109	38	$351.00	$103.68
99213 Established patient office or other outpatient visit, typically 15 minutes	80	69	$136.00	$50.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	54	$209.00	$77.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$436.00	$114.09
99238 Hospital discharge day management, 30 minutes or less	18	18	$222.00	$72.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	79	$136.00	$50.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	81	32	$351.00	$99.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	50	$209.00	$77.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	28	$243.00	$71.79
99238 Hospital discharge day management, 30 minutes or less	31	31	$222.00	$71.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$436.00	$113.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$136.00	$48.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	15	$243.00	$70.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$209.00	$76.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$295.00	$104.45
99238 Hospital discharge day management, 30 minutes or less	14	14	$222.00	$70.79

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD457060

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

103298729 (PA)

Commercial Insurance / Payer ID Pa Medicare

575177 (PA)

Hospital & Practice Group Affiliations

The Milton S Hershey Medical Center Physicians Group

500 Universidy Dr, Hershey, PA 170332360

Phone: 7175316754

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners

Dr. Nader Aboujamous , MD

Hospitalist

NPI 1265894083

Doctor of Medicine (M.D.)

Dr. Leah Ross , MD

Internal Medicine

NPI 1285097568

Doctor of Medicine (M.D.)

Dr. Kaleigh Krill , MD

Hospitalist

NPI 1376951095

Doctor of Medicine (M.D.)

Sarah Allison , PA-C

Physician Assistant

NPI 1386971745

Physician Assistant (Certified)

John Maulfair , PA-C

Physician Assistant

NPI 1396275194

Physician Assistant (Certified)

Dr. Rachel Casas , MD

Internal Medicine

NPI 1417240631

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2017

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360 (Tel: 7175318161)

📍

Updated Business Mailing Address July 19, 2017

Registered at PO BOX 858, MC A410, HERSHEY, PA 170330858 (Tel: (800) 243-1455)

👤

Provider Name / Credentials Updated July 19, 2017

Recorded as NICHOLAS DUCA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Internal Medicine (License #MD457060 in PA)

✅

NPI Profile Active March 25, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 25, 2013

Registered at 200 LOTHROP STREET, SUITE N715, UPMC MONTEFIORE, PITTSBURGH, PA 15213 (Tel: 4126924700)

📍

Updated Business Mailing Address March 25, 2013

Registered at 200 LOTHROP STREET, SUITE N715, UPMC MONTEFIORE, PITTSBURGH, PA 15213 (Tel: 4126924700)

👤

Provider Name / Credentials Updated March 25, 2013

Recorded as NICHOLAS DUCA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356683684

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 25, 2013

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 858, Mc A410

Hershey, PA 170330858

Phone: 8002431455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.