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SHINE DUNCAN
NPI 1104422625
Physician Assistant in Indianapolis, IN

Active since December 09, 2020PECOS EnrolledAccepts Medicare Assignment
1440 E COUNTY LINE RD STE 2100, INDIANAPOLIS, IN 46227(317) 887-7968(317) 497-2526 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 11, 2021, Dec 9, 2020 (2 updates tracked since 2020).

About Shine Duncan NPPES

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

SHINE DUNCAN (NPI 1104422625) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10003132A) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Indiana University School Of Medicine (2020).

NPPES Registry Identity

NPI1104422625
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHINE DUNCAN
Location Address1440 E COUNTY LINE RD STE 2100Indianapolis, IN 46227-0963
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Phone(317) 887-7968
Fax(317) 497-2526
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2020
Enumeration DateDecember 9, 2020
Last NPPES UpdateJune 11, 20212 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1104422625 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 IN · 10003132A
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.
1440 E COUNTY LINE RD STE 2100, Indianapolis, IN 46227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Shine Duncan 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 ID8123432150
PECOS Enrollment IDI20210202001945
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 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.

Initial removal of wedge of lung tissue using an endoscope 32666
This procedure involves the use of an endoscope, a thin tube with a light and camera, to view and remove a small wedge of lung tissue. It's performed to diagnose or treat lung conditions. The process is minimally invasive, reducing recovery time.
12 services12 patients
Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46227 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

DR. RACHIT GUPTA D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1440 E COUNTY LINE RD STE 2100
INDIANAPOLIS, IN 46227
Marion County (317) 621-8500

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 Shine Duncan's NPI number?

The NPI number for Shine Duncan is 1104422625. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Shine Duncan located?

Shine Duncan practices at 1440 E County Line Rd Ste 2100, Indianapolis, IN 46227. The listed phone number is (317) 887-7968.

What is Shine Duncan's specialty?

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

Is Shine Duncan enrolled in Medicare?

Yes. Shine 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 Shine Duncan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shine 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 Shine Duncan affiliated with any hospitals?

According to CMS data, Shine Duncan is affiliated with Community Hospital East and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Shine Duncan was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.