Active NPI 1871816488 Individual Practitioner Male Practitioner

Dr. Michael Sison Duque , MD

Internal Medicine • Middletown, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Duque, MD is a certified Internal Medicine practicing in Middletown, RI. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Duque delivers high-quality medical care to the local community at 674 AQUIDNECK AVE STE 1.

Dr. Duque is affiliated with North Providence Primary Care Assoc Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of pneumococcal vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

674 Aquidneck Ave Ste 1

Middletown, RI 028425795

Telephone 4018479955

Fax 4018479948

Associated Practice Facility / Clinic

🏢 Newport Medical Associates Llc Facility NPI 1871319095

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Middletown, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -4.1 yrs vs City Avg

City Avg: 30.1 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Middletown, RI (1079 Statewide)

Telehealth Adoption Rate

38.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duque (26 Years) 26 Yrs

Middletown Specialty Average (30.1 Years) 30.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	56	$266.48	$124.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$277.00	$123.75

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	520	213	$261.18	$122.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	175	175	$264.57	$124.71
G0009 Administration of pneumococcal vaccine	117	117	$58.75	$31.37
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	73	33	$19.35	$1.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	33	$29.37	$13.77
G0008 Administration of influenza virus vaccine	50	49	$60.32	$31.37
69209 Removal of impacted ear wax by washing	21	21	$51.95	$19.93
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$176.70	$80.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$367.60	$171.25
90471 Administration of 1 vaccine	14	13	$41.21	$19.71

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	79	$241.75	$127.29
99213 Established patient office or other outpatient visit, typically 15 minutes	45	33	$117.29	$89.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$261.00	$127.41
G0008 Administration of influenza virus vaccine	14	14	$58.00	$30.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$71.08	$55.45

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	251	103	$151.69	$134.92
99213 Established patient office or other outpatient visit, typically 15 minutes	151	87	$100.99	$94.75
93000 Routine ekg using at least 12 leads including interpretation and report	67	56	$50.00	$15.52
81002 Urinalysis, manual test	66	55	$10.45	$3.48
82044 Urine microalbumin (protein) analysis	63	52	$25.00	$6.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	16	$44.40	$14.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$200.00	$137.94
G0444 Annual depression screening, 5 to 15 minutes	39	39	$25.00	$19.55
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	18	11	$40.00	$29.79
G0008 Administration of influenza virus vaccine	14	14	$50.00	$17.73
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	13	13	$300.00	$213.65
71046 X-ray of chest, 2 views	13	12	$75.00	$35.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$72.50	$57.03

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	204	148	$240.00	$112.33
99213 Established patient office or other outpatient visit, typically 15 minutes	46	46	$153.00	$77.30
87804 Detection test by immunoassay with direct visual observation for influenza virus	23	23	$26.00	$16.22
G0008 Administration of influenza virus vaccine	16	16	$53.00	$17.28
94640 Inhalation treatment for airway obstruction or sputum production	15	12	$39.00	$18.97
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	13	11	$1.00	$0.14
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$30.00	$16.20
G0009 Administration of pneumococcal vaccine	12	11	$53.00	$17.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$270.00	$120.24

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	396	194	$167.29	$106.48
99213 Established patient office or other outpatient visit, typically 15 minutes	228	147	$111.19	$72.55
93000 Routine ekg using at least 12 leads including interpretation and report	84	70	$48.04	$16.99
81002 Urinalysis, manual test	66	61	$13.42	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$201.37	$115.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	18	$56.77	$20.53
G0444 Annual depression screening, 5 to 15 minutes	31	31	$25.00	$17.88
71046 X-ray of chest, 2 views	28	27	$75.00	$30.37
82947 Blood glucose (sugar) level	24	19	$24.17	$4.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$211.06	$107.55
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$40.31	$39.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$101.00	$53.60
94640 Inhalation treatment for airway obstruction or sputum production	13	12	$44.38	$18.87
G0009 Administration of pneumococcal vaccine	12	12	$49.42	$21.32
70210 X-ray of paranasal sinus, 1-2 views	11	11	$75.00	$29.91

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	261	91	$172.74	$105.94
99213 Established patient office or other outpatient visit, typically 15 minutes	110	73	$107.59	$72.93
93000 Routine ekg using at least 12 leads including interpretation and report	63	57	$56.83	$17.34
81002 Urinalysis, manual test	53	50	$18.04	$3.43
80061 Blood test, lipids (cholesterol and triglycerides)	47	37	$25.00	$18.00
82044 Urine microalbumin (protein) analysis	44	42	$12.00	$6.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$224.36	$116.93
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	26	15	$60.00	$27.94
96160 Administration and interpretation of patient-focused health risk assessment	26	22	$30.00	$4.68
71020 X-ray of chest, 2 views, front and side	20	20	$95.00	$28.17
82962 Blood glucose (sugar) test performed by hand-held instrument	17	12	$15.00	$3.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	11	$35.00	$26.16
82270 Stool analysis for blood to screen for colon tumors	11	11	$15.00	$4.37
76775 Limited ultrasound scan behind abdominal cavity	11	11	$190.00	$60.50

Medical Specialties & State Licenses

CMS Verified: 2024-12-03

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD14004

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.

Hospital & Practice Group Affiliations

North Providence Primary Care Assoc Inc

1830 Mineral Spring Ave, North Providence, RI 029043864

Phone: 4013511900

Practice Associates & Co-Workers

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

1 Associated Practitioners

Robert Carrellas

Family Medicine

NPI 1417138850

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location December 03, 2024

Registered at 674 AQUIDNECK AVE STE 1, MIDDLETOWN, RI 028425795 (Tel: 4018479955)

📍

Updated Business Mailing Address December 03, 2024

Registered at 674 AQUIDNECK AVE STE 1, MIDDLETOWN, RI 028425795 (Tel: 4018479955)

📍

Updated Practice Location July 26, 2018

Registered at 50 MEMORIAL BLVD, NEWPORT, RI 02840 (Tel: 4016064510)

📍

Updated Business Mailing Address July 26, 2018

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054513 (Tel: 4014446779)

✅

NPI Profile Active March 10, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2010

Registered at 1 SOUTH PROSPECT STEET, UHC CAMPUS RM 2309, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05401 (Tel: 8028472534)

📍

Updated Business Mailing Address March 10, 2010

Registered at 1644 CRESCENT DR, TARRYTOWN, NY 105915843 (Tel: 9144345153)

👤

Provider Name / Credentials Updated March 10, 2010

Recorded as MICHAEL DUQUE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2010

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871816488

Entity Type:

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

Enumeration Date: March 10, 2010

Last Update: December 03, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

674 Aquidneck Ave Ste 1

Middletown, RI 028425795

Phone: 4018479955

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.