Nicholas Dueck, M.D.
NPI 1811429681ActiveIndividual· Student in an Organized Health Care Education/Training Program· Port Jefferson, NY
Student in an Organized Health Care Education/Training Program (M.D.) in Port Jefferson, New York, trained at Creighton University School of Medicine (class of 2017). Medicare paid $108,109 for services to 2,055 patients in 2024.
Overview
| NPI | 1811429681 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 31, 2017 |
| Last updated in NPPES | Mar 31, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
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) | Enrolled Practitioner - Diagnostic Radiology (ID); Practitioner - Diagnostic Radiology (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,055 |
|---|---|
| Services billed | 13,220 across 150 procedure codes |
| Paid by Medicare | $108,109 |
Education and affiliations
| Medical school | Creighton University School of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Gem State Radiology LLPBoise, ID · 73 clinicians
- Intermountain Medical Imaging LLCEagle, ID · 38 clinicians
Hospital affiliations
- Saint Alphonsus Medical Center - NampaNampa, ID
- Saint Alphonsus Medical Center OntarioOntario, OR
- Saint Alphonsus Regional Medical CenterBoise, ID
- St. Alphonsus Medical Center - Baker CityBaker City, OR
- Treasure Valley HospitalBoise, ID
Other Student in an Organized Health Care Education/Training Program providers in Port Jefferson
- 1245868611
- 1972923316
- 1235766387
- 1336776806
- 1053163188
- 1073366589
- 1083317648
- 1104528041
- 1124448568
- 1154171759
- 1174100226
- 1194427054
All 148 Student in an Organized Health Care Education/Training Program providers in Port Jefferson · All Student in an Organized Health Care Education/Training Program providers in New York