DR. GRAHAM SHAW DUNCAN MD
NPI 1003939117
Family Medicine in Stoney Creek, NC

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment
940 GOLF HOUSE RD E, STONEY CREEK, NC 27377(336) 449-9748 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Graham Shaw Duncan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRAHAM SHAW DUNCAN MD (NPI 1003939117) is an individual family medicine provider in Stoney Creek, North Carolina, licensed in North Carolina (127316) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Alamance Regional Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2005).

NPPES Registry Identity

NPI1003939117
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GRAHAM SHAW DUNCANCredential: MD
Location Address940 GOLF HOUSE RD EStoney Creek, NC 27377
Mailing Address1200 N Elm StGreensboro, NC 27401-1004 · (336) 832-7000
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2005
Enumeration DateApril 6, 2007
Last NPPES UpdateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
NPI 1003939117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 127316
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

940 GOLF HOUSE RD E, Stoney Creek, NC 27377

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Graham Shaw Duncan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355499187
PECOS Enrollment IDI20090504000531
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
195 services119 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
161 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
141 services96 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
118 services118 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
104 services79 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
98 services91 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alamance Regional Medical Center

Acute Care Hospitals · Burlington, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340070
Location1240 Huffman Mill RdBurlington, NC 27216 · Alamance County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers27 claims59 services$5.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graham Duncan's NPI number?

The NPI number for Graham Duncan is 1003939117. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Graham Duncan located?

Graham Duncan practices at 940 Golf House Rd E, Stoney Creek, NC 27377. The listed phone number is (336) 449-9748.

What is Graham Duncan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Graham Duncan enrolled in Medicare?

Yes. Graham Duncan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Graham Duncan accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Graham Duncan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Graham Duncan affiliated with any hospitals?

According to CMS data, Graham Duncan is affiliated with Alamance Regional Medical Center and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Graham Duncan was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.