RACHEL LYNN DUNCAN MPT
NPI 1043572639
Physical Therapist in Wilmington, OH
About Rachel Lynn Duncan Mpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEL LYNN DUNCAN MPT (NPI 1043572639) is an individual physical therapist in Wilmington, Ohio, licensed in Ohio (PT008054) and active in the NPI registry since June 2012. She is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rachel Lynn Duncan Mpt 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.
Medicare Billing Reassignments
3Medicare enrollment records show Rachel Duncan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, OH 45177
- Reassigned Medicare billing, Ohio enrollment
- 54 clinicians in this Medicare group
Dayton, OH 45458
- Reassigned Medicare billing, Ohio enrollment
- 142 clinicians in this Medicare group
Cincinnati, OH 45241
- Reassigned Medicare billing, Ohio enrollment
- 423 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45177 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rachel Duncan's NPI number?
The NPI number for Rachel Duncan is 1043572639. It was assigned to this individual provider in the NPPES registry on June 11, 2012.
Where is Rachel Duncan located?
Rachel Duncan practices at 1475 Rombach Ave, Wilmington, OH 45177. The listed phone number is (937) 283-2186.
What is Rachel Duncan's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Rachel Duncan enrolled in Medicare?
Yes. Rachel 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.
Which organizations bill Medicare for Rachel Duncan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Duncan reassigns Medicare benefits to 3 organizations: Drayer Physical Therapy LLC (Wilmington, OH), Drayer Physical Therapy Northern Ohio LLC (Dayton, OH) and Beacon Orthopaedics & Sports Medicine, Ltd (Cincinnati, OH). Each 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 Rachel Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachel Duncan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Rachel 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 Rachel Duncan was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.