LORENE M DUNCAN P.A.
NPI 1063493575
Physician Assistant in Kissimmee, FL

Q: What is Lorene Duncan's NPI number?

The NPI number for Lorene Duncan is 1063493575. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Lorene Duncan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lorene Duncan was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment

89.67/100

CMS Quality Rating

2400 N ORANGE BLOSSOM TRL STE 300, KISSIMMEE, FL 34744(407) 846-7200(407) 846-3989 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lorene M Duncan P.a. NPPES

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

LORENE M DUNCAN P.A. (NPI 1063493575) is an individual physician assistant in Kissimmee, Florida, licensed in Florida (PA0002606) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Kissimmee.

NPPES Registry Identity

NPI1063493575

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLORENE M DUNCANCredential: P.A.

Location Address2400 N ORANGE BLOSSOM TRL STE 300Kissimmee, FL 34744-2308

Mailing Address610 Oak Commons BlvdKissimmee, FL 34741-4198 · (407) 846-7200 · Fax (407) 846-3989

Phone(407) 846-7200

Fax(407) 846-3989

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateNovember 10, 2005

Last NPPES UpdateDecember 19, 2024

NPPES CertifiedDecember 19, 2024

✔ NPI 1063493575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA0002606

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2400 N ORANGE BLOSSOM TRL STE 300, Kissimmee, FL 34744

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Secondary Practice Location 1

Location 1610 Oak Commons BlvdKissimmee, FL 34741-4198 · Phone (407) 846-7200 · Fax (407) 846-3989

Other Identifiers 1

Medicaid2900128500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, UnitedHealthcare.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

Lorene M Duncan P.a. 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 ID8123159688

PECOS Enrollment IDI20100626000522

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

51 services51 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.

19 services16 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34744 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

89.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.86

Promoting Interoperability

100

Improvement Activities

Cost

67.71

Reported Quality Measures

Breast Cancer Screening

88%915 patients4/55-star benchmark: 93%

Cervical Cancer Screening

95%2,513 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

8%108 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

43%1,307 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

37%27 patients2/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

93%42 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%4,087 patients5/55-star benchmark: 100%

e-Prescribing

96%1,102 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

29%2,916 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

38%3,978 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 2,790 patients

0%2,790 patients

Provide Patients Electronic Access to Their Health Information

88%954 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 10

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

KAREN WIERCINSKI APRN

Nurse Practitioner (Women's Health)