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John W Duggan, MD

Ophthalmology · Palm Desert

NPI 1851313514

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Desert Elite Eye Group Inc · Desert Ophthalmology Medical Corporation

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Duggan’s office to ask if they take your plan before you enroll.

Original Medicare doctor bills

$12,429

Medicare paid this office $12,429 for 78 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
New patient visit (45+ min)45$5,317$118
Established patient problem focused exam of visual system27$2,442$70
Return visit (30+ min)24$2,325$97
Imaging of retina15$502$33
Photography of the retina11$307$28

Procedures Medicare counted

Procedure volume Medicare published
Cataract surgery1-10None

Who their Medicare patients are

78 Original Medicare patients in 2024. Average age 70 · Under 65 19% · Women 42% · Also on Medicaid 39% · Health risk score 0.98. At or below the middle of the specialty; the typical ophthalmology clinician is at 1.16.

Conditions among them: High blood pressure 60% · Diabetes 37% · Depression 24% · Chronic kidney disease 21% · Coronary heart disease 19%.

The office billed $24,204, Medicare allowed $17,128 and paid $12,429; for 140 services of 11 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202478140700.98$24,204$12,429
2023141252731.34$39,763$19,247
2022278489761.25$90,141$37,706
2020380809761.09$235,400$58,611
20199052,752761.10$855,966$254,001
20189542,882761.07$907,738$260,023
20179432,987761.11$912,864$276,792
20168752,711761.14$783,310$250,052
20158942,917761.04$880,131$283,876
20149072,764751.04$850,983$266,234
20138922,573761.09$852,469$259,187

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
New patient visit (45+ min)90$10,538$117
Established patient problem focused exam of visual system42$3,681$69
Return visit (30+ min)24$1,918$80
Photography of the retina13$342$26
Imaging of retina12$303$25

2022: 10 services

Original Medicare services billed in 2022
New patient complete exam of visual system74$7,661$104
Short return visit (20+ min)52$5,457$73
Established patient complete exam of visual system63$5,293$84
New patient visit (45+ min)42$5,096$121
Return visit (30+ min)38$5,049$103
Established patient problem focused exam of visual system56$3,978$69
Imaging of optic nerve37$1,150$29
Exam of visual field with extended testing15$849$50
Photography of the retina32$846$26
Imaging of retina19$591$31

2020: 8 services

Original Medicare services billed in 2020
Established patient complete exam of visual system202$17,635$87
Return visit (30+ min)145$14,291$78
Photography of the retina252$10,062$39
Removal of cataract with insertion of prosthetic lens12$5,825$448
New patient visit (45+ min)28$2,321$83
Short return visit (20+ min)45$1,604$32
Exam of visual field with extended testing23$789$34
Ultrasound scan to determine eye length and lens power13$627$45

2019: 12 services

Original Medicare services billed in 2019
Established patient complete exam of visual system545$56,260$101
Return visit (30+ min)290$41,793$93
Photography of the retina730$37,637$49
Removal of cataract with insertion of prosthetic lens48$36,871$585
Short return visit (20+ min)293$30,315$61
New patient visit (45+ min)124$16,360$132
Exam of visual field with extended testing93$6,506$58
Removal of recurring cataract in lens capsule using a laser16$5,268$329
Ultrasound scan to determine eye length and lens power49$4,147$67
New patient visit (30+ min)18$1,400$78
Long return visit (40+ min)12$1,381$115
Exam of the internal drainage system of eye16$344$21

2018: 11 services

Original Medicare services billed in 2018
Established patient complete exam of visual system537$54,436$100
Photography of the retina774$43,923$53
Removal of cataract with insertion of prosthetic lens48$36,672$547
Short return visit (20+ min)357$36,016$55
Return visit (30+ min)257$30,086$86
New patient visit (45+ min)143$17,235$121
Removal of recurring cataract in lens capsule using a laser22$6,916$301
Exam of visual field with extended testing85$5,019$53
Ultrasound scan to determine eye length and lens power45$4,331$72
New patient visit (30+ min)15$1,183$79
Exam of the internal drainage system of eye37$897$21

2017: 12 services

Original Medicare services billed in 2017
Photography of the retina776$53,642$64
Established patient complete exam of visual system503$49,129$97
Short return visit (20+ min)389$41,915$60
Return visit (30+ min)314$37,916$86
Removal of cataract with insertion of prosthetic lens41$27,497$573
Complex removal of cataract with insertion of prosthetic lens21$15,650$711
New patient visit (45+ min)116$13,876$120
Removal of recurring cataract in lens capsule using a laser20$6,867$327
Exam of visual field with extended testing93$6,096$60
Ultrasound scan to determine eye length and lens power53$5,701$81
New patient visit (30+ min)17$1,622$95
Exam of the internal drainage system of eye37$1,138$25

2016: 13 services

Original Medicare services billed in 2016
Photography of the retina691$57,631$76
Established patient complete exam of visual system469$47,828$100
Short return visit (20+ min)363$37,183$58
Return visit (30+ min)283$32,479$83
Removal of cataract with insertion of prosthetic lens25$18,734$568
Complex removal of cataract with insertion of prosthetic lens19$15,272$727
New patient visit (45+ min)110$13,289$121
Exam of visual field with extended testing100$5,712$53
Removal of recurring cataract in lens capsule using a laser16$4,773$298
Ultrasound scan to determine eye length and lens power41$4,392$83
New patient visit (30+ min)14$1,333$95
Exam of the internal drainage system of eye21$548$25
Removal of eyelashes using forceps11$531$41

2015: 13 services

Original Medicare services billed in 2015
Photography of the retina666$61,074$79
Established patient complete exam of visual system434$44,812$102
Short return visit (20+ min)377$44,185$60
Return visit (30+ min)321$39,280$85
Removal of cataract with insertion of prosthetic lens36$27,335$582
New patient visit (45+ min)122$16,195$133
Complex removal of cataract with insertion of prosthetic lens20$13,395$670
Removal of recurring cataract in lens capsule using a laser32$10,571$302
Exam of visual field with extended testing118$7,273$59
Ultrasound scan to determine eye length and lens power46$5,307$84
New patient visit (30+ min)24$1,971$82
Removal of eyelashes using forceps11$614$44
Exam of the internal drainage system of eye13$280$22

2014: 14 services

Original Medicare services billed in 2014
Return visit (30+ min)372$51,289$90
Photography of the retina532$43,613$70
Short return visit (20+ min)384$40,623$59
Established patient complete exam of visual system328$33,889$103
Removal of cataract with insertion of prosthetic lens36$26,726$581
New patient visit (45+ min)114$15,430$135
Complex removal of cataract with insertion of prosthetic lens17$14,437$722
Ultrasound scan to determine eye length and lens power50$5,850$85
Exam of visual field with extended testing96$5,641$55
New patient complete exam of visual system36$4,804$133
Removal of recurring cataract in lens capsule using a laser13$4,283$286
New patient visit (30+ min)24$2,215$92
Imaging of retina45$2,024$43
Removal of eyelashes using forceps13$657$37

2013: 16 services

Original Medicare services billed in 2013
Return visit (30+ min)358$51,662$87
Short return visit (20+ min)361$39,445$59
Established patient complete exam of visual system370$38,313$100
Removal of cataract with insertion of prosthetic lens44$34,800$580
Photography of the retina239$18,237$71
Complex removal of cataract with insertion of prosthetic lens14$10,970$686
New patient visit (45+ min)76$10,432$137
Exam of visual field with extended testing126$8,270$63
New patient complete exam of visual system62$7,192$116
Removal of recurring cataract in lens capsule using a laser17$6,277$299
Ultrasound scan to determine eye length and lens power50$5,649$84
Long return visit (40+ min)34$4,795$117
Imaging of retina68$2,856$42
New patient visit (30+ min)20$1,862$93
Examination of eye by ophthalmoscope with retinal drawing17$424$25
Exam of the internal drainage system of eye16$359$21

Medicaid work

$15,065 in 2024

Medicaid paid $15,065 for 400 billed services this clinician did in 2024, up to 25 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
New patient visit (60+ min)72$5,730
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient117$3,804
Return visit (30+ min)52$1,797
OPH SVCS MEDICAL XM&EVAL COMPRE EST PT 1/>VST38$1,173
New patient visit (45+ min)14$979
FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT27$934
DETERMINATION REFRACTIVE STATE80$648
Medicaid work by year
2024400725$15,065
2023631531$27,939
202226214$1,706
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
New patient visit (60+ min)168$13,976
New patient visit (45+ min)117$5,903
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient179$5,772
DETERMINATION REFRACTIVE STATE139$1,211
Return visit (30+ min)28$1,077

2022

Largest Medicaid services in 2022
New patient visit (60+ min)14$1,261
Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient12$445

Money from drug and device companies

$39 in 2023

Industry payments by year
202312None$39
202211None$22
202011None$21
201922None$32

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Oyster Point PharmaTyrvaya$39
2 payments
  • Meals for Tyrvaya · 2023-05-24 · $18
  • Meals for Tyrvaya · 2023-04-26 · $21
See all 2 published payments
Every published payment
Oyster Point PharmaMeals · 2023-05-24Tyrvaya$18
Oyster Point PharmaMeals · 2023-04-26Tyrvaya$21
See earlier years (2022, 2020, 2019)

2022: $22

Payments by company in 2022
Kala PharmaceuticalsInveltys$22
1 payment
  • Meals for Inveltys · 2022-02-15 · $22

2020: $21

Payments by company in 2020
Novartis PharmaceuticalsXiidra$21
1 payment
  • Meals for Xiidra · 2020-06-17 · $21

2019: $32

Payments by company in 2019
Sun Pharmaceutical IndustriesXelpros$19
1 payment
  • Meals for Xelpros · 2019-06-20 · $19
Bausch & Lomb a division of Bausch Health USLotemax$13
1 payment
  • Meals for Lotemax · 2019-03-27 · $13

Professional record

NPI
1851313514
Licence
CA G683170
Trained
Tufts University School of Medicine, 1988
Group
Desert Elite Eye Group Inc · Desert Ophthalmology Medical Corporation
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 174400000X (174400000X)
Mailing address
2516 Samaritan Dr Ste N, San Jose, CA, 95124
NPI first listed
2006-07-24
NPI last updated
2019-04-09

This is when the NPI record was last certified, not a medical board exam.