Milta O. Little, DO
Geriatric Medicine Specialist
My Locations
About Me
Geriatric medicine specialists all have personal stories about why we chose this complex branch of medicine. For me, it was my intergenerational upbringing and immigrant grandmother who always believed I would eventually become her doctor ("mi doctora"). Watching my grandmother and caregiver parents try to navigate the complicated health care system made me passionate about ensuring that the appropriate interprofessional care is delivered to older adults across all settings of care. Getting to share my passion with learners in the classroom, at medical meetings, and at the patient's bedside gives me energy. I hope to pass along my compassion for the unique needs of older adults to my two daughters.
LGBTQ+ Identified or Ally
- Associate Professor of Medicine, Medicine, Geriatrics and Palliative Care 2021
- Senior Fellow of the Center for the Study of Aging and Human Development, Center for the Study of Aging and Human Development 2020
Call for an Appointment
Ratings and Reviews
The ratings and reviews are based on patient responses to the overall provider rating question from the survey. The question reads: “Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider?” Responses are converted to a 5-point rating system and applied consistently to all providers. Learn more about our survey process. Patients who see some types of providers receive a different version of the patient satisfaction survey. Those results are not available on DukeHealth.org.
Training and Education
In the News
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Clinical Focus and Research
- Sinclair, Alan J., John E. Morley, Bruno Vellas, Matteo Cesari, and Medha Munshi. Pathy's Principles and Practice of Geriatric Medicine. John Wiley & Sons, 2022.
- Brandt, Nicole, Barbara Zarowitz, Milta O. Little, Elizabeth Galik, and Abhilash Desai. “Appropriate Antipsychotic Use in Nursing Home Populations: A Wakeup Call to CMS.” J Am Med Dir Assoc 24, no. 10 (October 2023): 1439–41. https://doi.org/10.1016/j.jamda.2023.08.014.
- Little, Milta O., Emily J. Hecker, Cathleen S. Colon-Emeric, Laurie Herndon, Eleanor S. McConnell, Tingzhong Michelle Xue, and Sarah D. Berry. “Perspectives on Deprescribing in long-term care: qualitative findings from nurses, aides, residents, and proxies.” BMC Nurs 22, no. 1 (January 31, 2023): 27. https://doi.org/10.1186/s12912-023-01179-y.
- Little, Milta O., and John E. Morley. “Healthcare for older adults in North America: challenges, successes and opportunities.” Age Ageing 51, no. 10 (October 6, 2022). https://doi.org/10.1093/ageing/afac216.
- Little, Milta, Shelley McDonald, David Schlientz, and yooh hie Kim. “Perioperative medical assessment of older adults.” In Pathy’s Principles and Practice of Geriatric Medicine. John Wiley & Sons, 2022.
- Little, Milta, and Fernanda Heitor. “Polypharmacy and deprescribing in older adults.” In Pathy’s Principles and Practice of Geriatric Medicine. John Wiley & Sons, 2022.
- Little, Milta. “Policy: Impact on Delivery and Access.” In Ethnogeriatrics Healthcare Needs of Diverse Populations. Springer, 2016.
- Little, Milta, Kim Johnson, Francis Karia, and Eleanor McConnell. “IMPLEMENTATION BARRIERS AND FACILITATORS OF COGNITIVE STIMULATION THERAPY ACROSS CARE SETTINGS.” In INNOVATION IN AGING, 6:607–607, 2022.
- Mitchell, C., E. Hidlebaugh, C. Leo, M. Little, G. Buhr, and M. Yanamadala. “Addressing Social Isolation in Long-Term Care Facilities Amidst the COVID-19 Pandemic.” In JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 69:S66–S66, 2021.
- Wong, S., M. Little, D. Schlientz, N. Webb, and H. White. “Adapting a Transitional of Care Model from a Large Academic Hospital for a Community Hospital.” In JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 69:S62–S62, 2021.
Insurance Accepted
Duke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below.
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Aetna
- Aetna Choice POS, Aetna Choice POS II
- Aetna Elect Choice HMO, Aetna Open Access Elect Choice
- Aetna Health Network Only, Aetna Health Network Option
- Aetna HMO
- Aetna Limited Benefit Insurance PPO
- Aetna Managed Choice POS
- Aetna Medicare Assure Plan (HMO D-SNP)
- Aetna Medicare Eagle Plan (PPO)
- Aetna Medicare Essential Plan (PPO)
- Aetna Medicare Value Plan (HMO)
- Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice
- Aetna Open Choice PPO
- Aetna PCP Coordinated POS Plan
- Aetna Quality Point of Service (QPOS)
- Aetna Select HMO
- Aetna Traditional Choice
- Aetna Voluntary Indemnity Group Plan
- Aetna Whole Health – Duke WakeMed WKCC
- Aetna/CVS Health
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Ambetter
- Ambetter of North Carolina
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Blue Cross Blue Shield of NC
- Blue Advantage
- Blue Medicare (HMO, PPO)*
- Blue Options (123, PPO, HSA)
- Blue Select
- NC State Employees Health Plan
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*Duke HomeCare and Hospice does not participate in the plan.
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Cigna
- Cigna Behavioral Health (*Limited eligibility)
- Cigna Choice Plus
- Cigna Connect Individual Family Plan
- Cigna Open Access
- Cigna Open Access Plus
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*Please call Cigna Behavioral Heath to see if the provider is participating in your plan.
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Duke Group Plans
- Duke Basic
- Duke Select
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Experience Health
- Experience Health Medicare Advantage (HMO) Plan
- Gateway Health Alliance
- Healthgram
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Humana
- Humana Choice (PPO)
- Humana Choice - Medicare Advantage (PPO)
- Humana ChoiceCare - Medicare Advantage (PPO)
- Humana Gold Choice - Medicare Advantage (PFFS)
- Humana Gold Plus - Medicare Advantage (HMO)
- Humana Medicare Advantage Group Plan - NC State Retirees
- MedCost
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Medicare
- First Medicare Direct
- Medicare Part A
- Medicare Part B
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NC Medicaid
- AmeriHealth Caritas North Carolina
- Carolina Complete Health
- Healthy Blue
- NC Medicaid Direct
- WellCare of North Carolina
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TRICARE
- TRICARE Prime
- TRICARE Prime Remote
- TRICARE Select
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United Healthcare
- AARP Medicare Advantage Plan 2 (HMO-POS)
- AARP Medicare Complete (HMO, PPO)*
- AARP Medicare Complete Essential (HMO)*
- All Savers Alternate Funding
- All Savers Fully Insured
- United Healthcare (HMO, PPO, POS)**
- United Healthcare Charter/Charter Balance/Charter Plus
- United Healthcare Choice/Choice Plus
- United Healthcare Core/Core Essential
- United Healthcare Navigate/Navigate Plus/Navigate Balanced
- United Healthcare Option PPO
- United Healthcare Passport Connect Choice/Choice Plus
- United Healthcare Passport Connect Options PPO
- United Healthcare Select/Select Plus
- United Healthcare Shared Services - Harvard Pilgrim/UHC Options PPO Network
- United Medical Resources (UMR)
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*Duke HomeCare and Hospice and mental health providers do not participate with the plan.
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**Duke Health does not participate in UHC plans on the Health Insurance Marketplace.
Before scheduling your appointment, we strongly recommend you contact your insurance company to verify that the Duke Health location or provider you plan to visit is included in your network. Your insurance company will also be able to inform you of any co-payments, co–insurances, or deductibles that will be your responsibility. If you proceed in scheduling an appointment and your health insurance benefits do not participate with Duke, your out of pocket liability may be higher. We will contact you regarding your coverage and patient liability. If you are uninsured, learn more about our financial assistance policy.
External Relationships
- AMDA - The Society for Post-Acute and Long-Term Care Medicine
- American Society of Consulting Pharmacists