Andrew J. Duarte, MD
Physical Medicine & Rehabilitation Physician · Worcester, MA
Andrew J. Duarte, MD is a physical medicine & rehabilitation physician with a practice address in Worcester, Massachusetts, and NPI 1396270526, issued on Apr 25, 2017. Check the license (Massachusetts 292090, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.
- Name
- Andrew J. Duarte
- Credential
- MD
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician 208100000X
- License number
- 292090 MA
Self-reported in NPPES; status is on the state search - Practice location
- 119 Belmont St, Worcester, MA 01605
- Phone
- (508) 334-5995
- Enumerated
- Apr 25, 2017
- Record last updated
- Aug 16, 2022
- Fax
- (508) 793-6504
- Medicare enrollment
- Enrolled (PECOS I20220811002281); accepts Medicare assignment
- Medical or professional school
- University Of Connecticut School Of Medicine, 2017
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest physical medicine & rehabilitation physician records → All 353 in Massachusetts → Look up another NPI →
Also registered at 119 Belmont St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Andrew J. Duarte in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
Search for license 292090Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
40% fewer Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024
436 Medicare Part D claims for 118 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D.
Most prescribed
- Gabapentin92 claims
- Meloxicam88 claims
- Duloxetine Hcl51 claims
- Diclofenac Sodium36 claims
- Baclofen31 claims
- Pregabalin29 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 97 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,717.32
12 payments; by number, the most common kind was food and beverage; the largest payer was Pacira Pharmaceuticals Incorporated. The 3,895 providers of this specialty with any payment received $1,237.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Umass Memorial Medical Group IncWorcester, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Andrew J. Duarte among 353 physical medicine & rehabilitation physician records in Massachusetts
Andrew J. Duarte, MD is one of 353 physical medicine & rehabilitation physician records with a practice address in Massachusetts. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 72% of them.
- NPI issued2017 · 72% of these records are older, 22% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2017 · median 2006 among the 209 with a school on file
- Record last updated2022 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Physical Medicine & Rehabilitation Physician providers in Massachusetts
There are 353 physical medicine & rehabilitation physician records in Massachusetts.
All 353 in Massachusetts → Every provider in Worcester → Physical Medicine & Rehabilitation Physician nationwide →
The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes
- Trista Brown, MDWorcester, MA 016051992791339
- Minjin Fromm, M.D.Worcester, MA 016051598958803
- David Mazin, M.D.Worcester, MA 016051699832485
- Stefan Muzin, MDWorcester, MA 016051194911545
- Soun Sheen, M.D.Worcester, MA 016051346774676
- Nicholas Tsitsilianos, MDWorcester, MA 016051386200780
- Faren Williams, M.D.Worcester, MA 016051346207271
- Angela Yang, M.D.Worcester, MA 016051053504894
Common questions
What is Andrew J. Duarte, MD's NPI number?
Andrew J. Duarte, MD's National Provider Identifier (NPI) is 1396270526, issued on Apr 25, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Andrew J. Duarte, MD located?
The NPPES record lists a practice address at 119 Belmont St, Worcester, MA, 01605. Phone: (508) 334-5995. Providers update this record themselves, so call before visiting.
How can I verify Andrew J. Duarte, MD's license?
NPPES lists Massachusetts license number 292090, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Andrew J. Duarte, MD prescribe under Medicare Part D?
In 2024, Andrew J. Duarte, MD had 436 Medicare Part D claims for 118 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.
What is Andrew J. Duarte, MD's MIPS final score?
The 2023 MIPS final score is 97 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.