Ellen Duveneck, MD
NPI 1326422643ActiveIndividual· Family Medicine· Califon, NJ
Opted out of Medicare from June 2026 to June 2028. Family Medicine (MD) in Califon, New Jersey, trained at Pennsylvania State University College of Medicine (class of 2005). Their prescriptions cost Medicare Part D more than their services did: $109,938 for 1,351 claims, against $18,227 paid for services in 2024.
Overview
| NPI | 1326422643 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 16, 2015 |
| Last updated in NPPES | Sep 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 25MA10228600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jun 24, 2026 – Jun 24, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 290 across 22 procedure codes |
| Paid by Medicare | $18,227 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,351 · 2,481 30-day fills |
|---|---|
| Patients | 239 |
| Total drug cost | $109,938 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | Pennsylvania State University College of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Family Practice |
Hospital affiliation
- Hunterdon Medical CenterFlemington, NJ
Other facilities
- Hunterdon Medical Center Home HealthHome health agency · Flemington, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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