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DAVID B DUNCAN MD
NPI 1053364430
Psychiatry & Neurology - Neurology in Neptune, NJ

Active since May 18, 2006PECOS Enrolled
75.8/100
CMS Quality Rating
1945 ROUTE 33, 1ST FLOOR AMDUR PAVILLION, NEPTUNE, NJ 07753(732) 897-3620(732) 897-3619 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2019, May 17, 2019 (2 updates tracked since 2019).

About David B Duncan Md NPPES

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

DAVID B DUNCAN MD (NPI 1053364430) is an individual neurology provider in Neptune, New Jersey, licensed in New Jersey (25MA09197300) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053364430
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDAVID B DUNCANCredential: MD
Location Address1945 ROUTE 33, 1ST FLOOR AMDUR PAVILLIONNeptune, NJ 07753-2605
Mailing Address1945 Route 33Neptune, NJ 07753-4859 · (732) 897-3620 · Fax (732) 897-3619
Phone(732) 897-3620
Fax(732) 897-3619
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration
✔ NPI 1053364430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NJ · 25MA09197300✔ Licensed in NY · 201062
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1945 ROUTE 33, Neptune, NJ 07753
Open in Google Maps ↗

Other Identifiers 2

Other0667910001NY · Dme
Medicaid0380369NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David B Duncan Md 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 David Duncan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
9.2 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
155 services96 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.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

JACOB JOSEPH FERGUSON MD
Anesthesiology
1945 ROUTE 33, FL 4 ACKERMAN
NEPTUNE, NJ 07753
Monmouth County (732) 776-4896
AMEER ASHRAF METWALLY DO
Student in an Organized Health Care Education/Training Program
1945 ROUTE 33
NEPTUNE TOWNSHIP, NJ 07753
Monmouth County (732) 776-4328
CORTNEY SEITZ PAC
Physician Assistant
1945 ROUTE 33, K HOVNANIAN CHILDREN'S HOSPITAL
NEPTUNE, NJ 07753
Monmouth County (732) 413-3626
VICTORIA LYNN WILKINS DO
Student in an Organized Health Care Education/Training Program
1945 ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 775-5500
STEPHANIE WICKMAN PA
Physician Assistant
1945 ROUTE 33, FL 4 ACKERMAN
NEPTUNE, NJ 07753
Monmouth County (732) 776-4949
DR. DENISE L LIVINGSTON MD, PHD
Emergency Medicine
1945 ROUTE 33, DEPARTMENT OF EMERGENCY MEDICINE
NEPTUNE, NJ 07753
Monmouth County (732) 775-5500
SHAKIA WEST
Registered Nurse (Psychiatric/Mental Health)
1945 ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (908) 675-2772
MICHELLE CATALANO PA
Physician Assistant
1945 ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-3980

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 David Duncan's NPI number?

The NPI number for David Duncan is 1053364430. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is David Duncan located?

David Duncan practices at 1945 Route 33 1st Floor Amdur Pavillion, Neptune, NJ 07753. The listed phone number is (732) 897-3620.

What is David Duncan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is David Duncan enrolled in Medicare?

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

Which organization bills Medicare for David Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Duncan reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 David Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Duncan was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.