YOLANDA R. W. DUNCAN MD
NPI 1114981404
Family Medicine in Tallmadge, OH

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
145 WEST AVE, TALLMADGE, OH 44278(330) 633-8341(330) 633-8462 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yolanda R. W. Duncan Md NPPES

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

YOLANDA R. W. DUNCAN MD (NPI 1114981404) is an individual family medicine provider in Tallmadge, Ohio, licensed in Ohio (35-081459) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of University Of Cincinnati College Of Medicine (2000).

NPPES Registry Identity

NPI1114981404
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameYOLANDA R. W. DUNCANCredential: MD
Location Address145 WEST AVETallmadge, OH 44278-2250
Mailing Address24701 Euclid Ave, Third Floor Billing ServicesEuclid, OH 44117-1714 · (330) 923-0553 · Fax (330) 923-0556
Fax(330) 633-8462
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2000
Enumeration DateApril 13, 2006
Last NPPES UpdateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
NPI 1114981404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35-081459
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
145 WEST AVE, Tallmadge, OH 44278

Other Identifiers 1

Medicaid2393253OH

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

Yolanda R. W. 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 ID143129627
PECOS Enrollment IDI20040105000047
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 11

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 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.
150 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 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.
44 services31 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
36 services20 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services19 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Summa Western Reserve Hospital

Acute Care Hospitals · Cuyahoga Falls, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360150
Location1900 23rd StreetCuyahoga Falls, OH 44223 · Summit County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44278 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers15 claims27 services$15.34 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers18 claims60 services$1.75 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$18.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Physician Assistant (Medical)
145 WEST AVE
TALLMADGE, OH 44278
Physician Assistant
145 WEST AVE
TALLMADGE, OH 44278
Physician Assistant
145 WEST AVE
TALLMADGE, OH 44278
Physician Assistant
145 WEST AVE
TALLMADGE, OH 44278
Family Medicine (Addiction Medicine)
145 WEST AVE, SUITE 1
TALLMADGE, OH 44278
Physician Assistant
145 WEST AVE
TALLMADGE, OH 44278

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 Yolanda Duncan's NPI number?

The NPI number for Yolanda Duncan is 1114981404. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Yolanda Duncan located?

Yolanda Duncan practices at 145 West Ave, Tallmadge, OH 44278. The listed phone number is (330) 633-8341.

What is Yolanda Duncan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Yolanda Duncan enrolled in Medicare?

Yes. Yolanda 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 Yolanda Duncan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Yolanda 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 Yolanda Duncan affiliated with any hospitals?

According to CMS data, Yolanda Duncan is affiliated with Summa Health System, Akron General Medical Center, University Hospitals Portage Medical Center and Summa Western Reserve Hospital.

When was this NPI record last updated?

The NPPES record for Yolanda Duncan was last updated on December 28, 2020. 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.