DR. PAUL THOMAS DUNCAN D.O.
NPI 1023168903
Family Medicine in San Antonio, TX

Active since January 11, 2007PECOS Enrolled
13722 EMBASSY ROW, SAN ANTONIO, TX 78216(210) 403-4210(210) 491-2868 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Paul Thomas Duncan D.o. NPPES

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

DR. PAUL THOMAS DUNCAN D.O. (NPI 1023168903) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (J6410) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023168903
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL THOMAS DUNCANCredential: D.O.
Location Address13722 EMBASSY ROWSan Antonio, TX 78216-2000
Mailing Address456 Twin Springs RdGeorgetown, TX 78633-4332 · (512) 869-1163
Fax(210) 491-2868
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 18, 2014
✔ NPI 1023168903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J6410
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.
13722 EMBASSY ROW, San Antonio, TX 78216

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Thomas Duncan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Duncan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Occupational Medicine
13722 EMBASSY ROW
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 51 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
13722 EMBASSY ROW
SAN ANTONIO, TX 78216
Family Medicine
13722 EMBASSY ROW
SAN ANTONIO, TX 78216
Clinic/Center (Urgent Care)
13722 EMBASSY ROW
SAN ANTONIO, TX 78216
Family Medicine
13722 EMBASSY ROW
SAN ANTONIO, TX 78216
Emergency Medicine
13722 EMBASSY ROW
SAN ANTONIO, TX 78216
Family Medicine
13722 EMBASSY ROW
SAN ANTONIO, TX 78216
Physician Assistant (Medical)
13722 EMBASSY ROW
SAN ANTONIO, TX 78216
Emergency Medicine
13722 EMBASSY ROW
SAN ANTONIO, TX 78216

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 Paul Duncan's NPI number?

The NPI number for Paul Duncan is 1023168903. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Paul Duncan located?

Paul Duncan practices at 13722 Embassy Row, San Antonio, TX 78216. The listed phone number is (210) 403-4210.

What is Paul Duncan's specialty?

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

Is Paul Duncan enrolled in Medicare?

Yes. Paul Duncan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Duncan reassigns Medicare benefits to (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Duncan accept?

Health plans from Harbor Health list Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Duncan was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.