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JAMES W. DUNCAN DMD
NPI 1093153058
Dentist - General Practice in Tucson, AZ

Active since June 11, 2013PECOS Enrolled
839 W CONGRESS ST, TUCSON, AZ 85745(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, May 9, 2025 (2 updates tracked since 2025).

About James W. Duncan Dmd NPPES

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

JAMES W. DUNCAN DMD (NPI 1093153058) is an individual general practice provider in Tucson, Arizona, licensed in Arizona (D009145) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2013).

NPPES Registry Identity

NPI1093153058
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJAMES W. DUNCANCredential: DMD
Location Address839 W CONGRESS STTucson, AZ 85745-2819
Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 309-2560
Phone(520) 670-3909
Fax(520) 309-2560
Sole ProprietorNo
Medical School CMSAt Still University, Arizona School Of Dentistry & Oral HlthGraduated 2013
Enumeration DateJune 11, 2013
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1093153058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D009145
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License D008740 (AZ)
839 W CONGRESS ST, Tucson, AZ 85745
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James W. Duncan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820392319
PECOS Enrollment IDI20250821002656
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85745 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

NICOLA FINLEY MD
Internal Medicine
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 792-9890
MRS. LINDA GAIL NADLER CHAMBERLAIN OPTICIAN
Technician/Technologist (Optician)
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 620-6709
CRISTINA MONTIEL
Dental Hygienist
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
SHAWN LEE
Dental Hygienist
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
JANICE RODENBERG CNM
Advanced Practice Midwife
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3870
GABRIELLE OCHOA MD
Internal Medicine
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
DR. DANIEL JOSEPH CAPPOZZO D.C.
Chiropractor
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
MR. HERMAN DAVID VERDUGO RPH
Pharmacist
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 205-4996

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 James Duncan's NPI number?

The NPI number for James Duncan is 1093153058. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is James Duncan located?

James Duncan practices at 839 W Congress St, Tucson, AZ 85745. The listed phone number is (520) 670-3909.

What is James Duncan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is James Duncan enrolled in Medicare?

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

What insurance does James Duncan accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 13 other insurers list James 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 James Duncan was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.