For Providers

Thank you for choosing Duke Radiology!

We are committed to providing you and your patients with the highest level of customer service. Below, you will find contact information for scheduling appointments as well as requesting information about our procedures and locations If you do not find what you are looking for here, please contact us.

Appropriate Use Criteria For Advanced Imaging

The 2014 Protecting Access to Medicare Act (PAMA) requires that physicians ordering advanced imaging exams consult appropriate use criteria (AUC) through a qualified Clinical Decision Support Mechanism (qCDSM). Beginning January 2023, information regarding the ordering professional’s CDS consultation must be appended to the claim in order for that claim to be paid. A CMS qPLE designation permits Duke the ability to create its own AUC and interaction scores, and submit those scores to CMS to comply with PAMA. By the development and implementation of appropriate use criteria (AUC) standards, Duke aims to reduce variability in patient care and develop best clinical practices across the health system, while enhancing Duke's reputation on a local and national level.


See our FAQs for the latest information on Appropriate Use legislation and resources.


Radiology Image Library

Duke Health is connected with 196 hospitals/imaging facilities/physician offices throughout the state of North Carolina and 750 hospitals nationwide.  Through this network, we transfer 19,565 radiology studies through the “cloud” each month.  Our goal is to transfer all radiology images between hospitals and physicians electronically.

Duke Radiology Image Library processes all requests for radiology images for all of Duke Health, including Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital, all Duke Clinics, including urgent care and primary care practices.

Radiology Unexpected Findings Program


Duke Health System asked the Department of Radiology to create a system to ensure that providers and patients are notified of unexpected findings that would result in harm if ignored. As we designed the workflow, Risk Management concluded that the patient must be notified separately as there is no consistent method in place to ensure that the patient has been made aware of his/her results. Our notification to the patient is an essential piece of the puzzle to ensure follow-up is achieved. The radiology unexpected findings program was established 10/14/2019, and currently has four full-time imaging professionals in this role.


  • Assume responsibility and accountability to ensure follow-up on unexpected findings discovered within any imaging obtained in the Duke Health System
  • Assist patients and providers with navigation through the process, and provide documented closed-loop communication to ensure positive patient outcomes
  • Increase efficiency of follow-up care and assist in organizational goals of optimization of patient safety
  • Aid patients without primary care providers to establish care and refer patients with barriers to care to resources within Duke Health and the community


For FAQ's regarding the Radiology Unexpected Findings Program Click here

OUR TEAM: Radiology Unexpected Findings Navigators

Our team consists of three registered radiologic technologists and one registered diagnostic medical sonographer. They have over 90 years of combined experience and expertise in Diagnostic Radiology, CT, MRI, and Ultrasound.

Amy Harward, RT(R) (CT) 919-681-8358

Julie Royster, BSRT(R) (CT) (MR) 919-660-1679

Katherine Lander, BA, RDMS, RVT 919-681-8354

Lisa Hardister, BSRT(R) (CT) 919-681-8364

Team email:

Physicians and hospitals outside of Duke Health

For the fastest service please send your request for radiology images through Powershare to Duke.  For those in our image-sharing network, images will be transferred through Powershare.  We will not continue to ship CDs since we have the ability to share images digitally.

If your organization has a Powershare account but it is not connected with Duke please contact one of our team leads so that we can add you to our network.

If you have questions regarding the possibility of transferring images using a different image transfer application please call one of our team leads.

Team Leads

1st shift 9am-6:30pm 919-684-7266 or 919-695-2312
2nd shift 3pm-11:30pm 919-695-2056 or 919-695-2865

Weekends 919-695-2761 or 919-684-7285

Email us at

Fax: 919-684-7139

For emergent imaging requests, the main number 919-684-7274 is answered 24/7.  When prompted, press 2 to speak with a Radiology Image Library staff member.

Referring Physicians Outside of Duke

Please contact Radiology Centralized Scheduling first to order a test or procedure for your patient by calling (919) 684-7999. Once the appointment is scheduled with Centralized Scheduling, please complete our Radiology Referral Form and fax to (919) 684-7171 to complete your order request. In addition to ordering on-site imaging services, you may also request a secondary interpretation of outside imaging studies by our Duke Sub-Specialty Radiologists.

Get a Duke MedLink Account

Duke MedLink is your connection to our EMR system. Through this secure, web-based application, you will have quick and convenient read-only access to view your patients’ medical records, place orders and referrals, and send secure messages to Duke physicians.

Duke MedLink enables you to:

  • Make a referral, place a radiology order, and track the progress of your requests.
  • View your patients’ medical records within our EMR system, including visit summaries, progress notes, and results.
  • Monitor and receive alerts about your patients’ care at Duke Health.
  • To learn more, please read our FAQ.

Follow These Steps to Create Your Account  (Click Here)


Radiology Centralized Scheduling

Appointments: (919) 684-7999
Fax: (919) 684-7171

Breast Intervention

Appointments: (919) 684-7849, (919) 684-7848
Fax: (919) 613-0371

Cardiac CTA or MRI

Physicians may contact the Imaging Hotline at (919) 684- 5295 for expert information to determine the appropriate test for your patient.

Cardiac CTA

Appointments: (919) 681-6238
Fax: (919) 681-7177

Cardiac MRI

Appointments: (919) 668-6960
Fax: (919) 668-5588

CT Intervention

CT Guided Aspirations, Biopsies, and Drainages

Appointments: (919) 684-7719
Fax: (919) 681-9914

CT-Guided Spine Injections/Targeted Blood Patching

Appointments: (919) 684-7214  Option 2
Pre-Consultation Requirements Click here
Nurse Coordinator:  (919) 684-7770

GI Intervention

Aspirations and Injections

Appointments: (919) 684-7257
Fax: (919) 684-7134

Neuro Intervention

Appointments: (919) 684-7315
Fax: (919) 613-2680

Nuclear Medicine

Thyroid Procedures

Appointments: (919) 684-7220
Fax: (919) 385-1312
For same-day procedures or questions, please call (919) 684-7220


Appointments: (919) 684-7714
Fax: (919) 684-7130

US Intervention

US Guided Aspirations, Biopsies, and Drainages

Appointments: (919) 684-7719
Fax: (919) 681-9914
Nurse Coordinator:  (919) 684-7770
For same-day procedures or questions, please call (919) 684-7437

Vascular Intervention

For all procedures including same-day procedures or for questions, please contact our appointment line.
Appointments: (919) 684-7315
Fax: (919) 613-2680