JOSEPH C DUNCAN MD
NPI 1093755753
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Muncie, IN

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
60.74/100
CMS Quality Rating
3600 W BETHEL AVE, MUNCIE, IN 47304(765) 284-7738(765) 284-4266 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2025, Jan 6, 2025, Nov 15, 2023 and 1 more (4 updates tracked since 2020).

About Joseph C Duncan Md NPPES

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

JOSEPH C DUNCAN MD (NPI 1093755753) is an individual orthopaedic surgery of the spine provider in Muncie, Indiana, licensed in Indiana (01062932A) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and is a graduate of Indiana University School Of Medicine (1998).

NPPES Registry Identity

NPI1093755753
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameJOSEPH C DUNCANCredential: MD
Location Address3600 W BETHEL AVEMuncie, IN 47304-5407
Mailing Address3600 W Bethel AveMuncie, IN 47304-5407 · (800) 622-6575
Fax(765) 284-4266
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1998
Enumeration DateJune 8, 2006
Last NPPES UpdateDecember 11, 20254 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1093755753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in IN · 01062932A
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01062932A (IN)
3600 W BETHEL AVE, Muncie, IN 47304

Other Identifiers 3

Medicaid200841070IN
Other000000495010IN · Anthem
OtherP00374120IN · Railroad Medicare

Accepted 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

Joseph C Duncan Md 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 ID244203909
PECOS Enrollment IDI20070412000635
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 14

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 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.
280 services164 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
186 services36 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
126 services125 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
108 services108 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
47 services22 patients
X-ray of upper spine, 6 or more views 72052
An X-ray of the upper spine with 6 or more views involves capturing multiple images of your neck and upper back. This non-invasive procedure helps doctors visualize the bones and joints, aiding in diagnosing conditions such as arthritis, fractures, or spinal deformities.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

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.

60.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.81
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
45%540 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%24 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%1,899 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
74%458 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
90%1,043 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%765 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
70%30 patients3/55-star benchmark: 91%
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.

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.

Occupational Therapist
3600 W BETHEL AVE
MUNCIE, IN 47304
Physical Therapist
3600 W BETHEL AVE
MUNCIE, IN 47304
Physical Therapy Assistant
3600 W BETHEL AVE
MUNCIE, IN 47304
Physical Therapist
3600 W BETHEL AVE
MUNCIE, IN 47304
Orthopaedic Surgery
3600 W BETHEL AVE
MUNCIE, IN 47304
Occupational Therapist
3600 W BETHEL AVE
MUNCIE, IN 47304
Physician Assistant
3600 W BETHEL AVE, CENTRAL INDIANA ORTHOPEDICS, PC
MUNCIE, IN 47304
Orthopaedic Surgery
3600 W BETHEL AVE
MUNCIE, IN 47304

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 Joseph Duncan's NPI number?

The NPI number for Joseph Duncan is 1093755753. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Joseph Duncan located?

Joseph Duncan practices at 3600 W Bethel Ave, Muncie, IN 47304. The listed phone number is (765) 284-7738.

What is Joseph Duncan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Joseph Duncan enrolled in Medicare?

Yes. Joseph 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.

What insurance does Joseph Duncan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Joseph 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.

Is Joseph Duncan affiliated with any hospitals?

According to CMS data, Joseph Duncan is affiliated with Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Duncan was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.