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Dr. Michael David Duchamp , DO

Orthopaedic Surgery • Rockwall, TX

Active NPI 1285728394 Individual Practitioner Male Practitioner
Practice location in NPPES

1005 W Ralph Hall Pkwy, Suite 237
Rockwall, TX 750326658

Call 9727728577 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1005 W Ralph Hall Pkwy
Suite 237

Rockwall, TX 750326658

Telephone 9727728577
Organization at the Same NPPES Address or Phone
Five Point Urgent Care Physicians Pllc Facility NPI 1184892515

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $26,040 in 2017

The total amount Medicare approved for these services in 2017. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017.

Paid by Medicare

About $19,026 in 2017

The part of the Medicare-allowed amount that Medicare itself paid in 2017, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017.

30-day fills

158 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$3,785 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Duchamp has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Duchamp as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Rockwall and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 95% of clinicians listed under Orthopaedic Surgery in Rockwall, TX (2024, 14 clinicians with data). Median for this group: 285. Middle half: 203 to 594.

Fewer Part D prescriptions than 80% of clinicians listed under Orthopaedic Surgery in Texas (2024, 928 clinicians with data). Median for this group: 324. Middle half: 137 to 652.

Part D drug cost

A higher Part D drug cost than 60% of clinicians listed under Orthopaedic Surgery in Rockwall, TX (2024, 14 clinicians with data). Median for this group: $2,799. Middle half: $1,551 to $7,816.

Close to the middle for clinicians listed under Orthopaedic Surgery in Texas (2024, 928 clinicians with data). Median for this group: $2,682. Middle half: $992 to $6,723.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Duchamp are from 2017.

16 active clinicians are listed under Orthopaedic Surgery with a practice address in Rockwall, TX (1,515 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rockwall

6.2% of these 16 clinicians have the CMS telehealth indicator.

87.5% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2017), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2017.

CMS Part B · Data Year 2017

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less
163 34 $123.35 $57.87
11042 Removal of skin and tissue, 20.0 sq cm or less
74 23 $206.84 $106.98
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
55 31 $155.45 $67.66
97597 Removal of tissue from wound, 20.0 sq cm or less
38 19 $128.95 $22.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
26 26 $202.85 $100.36
97597 Removal of tissue from wound, 20.0 sq cm or less
22 13 $150.00 $68.94

Source: CMS Part B by Provider and Service, 2017; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Progesterone Progesterone, Micronized 44 3,360 $2,632.67 13
Np Thyroid Thyroid,pork 20 1,365 $1,152.00 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES TX H9894

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
215761201 (TX)
Medicaid ID
096762203 (TX)
Medicaid ID
096762204 (TX)
Other Identifier Ptan
8F23937 (TX)
Other Identifier Ptan Railroad
DR6492 (TX)
Other Identifier Ptan Railroad
200031546 (TX)
Other Identifier Ptan
0A5927 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20100312000929

Enrollment State Jurisdiction

TX

PECOS Control ID

8820051600

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Charla Granberry , FNP

Nurse Practitioner

NPI 1457486193

Family Nurse Practitioner

Dr. Craig Lankford , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1861439283

Doctor of Medicine (M.D.)

Dr. Les Sandknop , DO

Family Medicine

NPI 1336139807

Doctor of Osteopathic Medicine (D.O.)

Dr. Amber Street , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1942974464

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Becky Wynn , RNC, FNP

Nurse Practitioner

NPI 1265566640

RNC, Family Nurse Practitioner

Career & Practice History

NPI enumerated October 03, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1285728394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: December 13, 2012
Sole Proprietor: No

Other Orthopaedic Surgery Specialists in Rockwall

All Orthopaedic Surgery Specialists in Rockwall

Mailing Address

Po Box 506

Rockwall, TX 750870506

Phone: 9727728577

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.