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DR. DAVID ALLEN DUNCAN MD
NPI 1124004122
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Winston-salem, NC

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
4622 COUNTRY CLUB RD, SUITE 180, WINSTON-SALEM, NC 27104(336) 768-9535(336) 768-4155 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David Allen Duncan Md NPPES

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

DR. DAVID ALLEN DUNCAN MD (NPI 1124004122) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Winston-salem, North Carolina, licensed in North Carolina (35324) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of University Of Florida College Of Medicine (1984).

NPPES Registry Identity

NPI1124004122
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. DAVID ALLEN DUNCANCredential: MD
Location Address4622 COUNTRY CLUB RD, SUITE 180Winston-salem, NC 27104-3770
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 768-9535 · Fax (336) 768-4155
Phone(336) 768-9535
Fax(336) 768-4155
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1984
Enumeration DateDecember 21, 2005
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedSeptember 6, 2020
✔ NPI 1124004122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in NC · 35324
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
4622 COUNTRY CLUB RD, Winston-salem, NC 27104
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Other Identifiers 1

Medicaid8929389NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Dr. David Allen 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 ID6406924422
PECOS Enrollment IDI20100823000849
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 6

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
63 services63 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
29 services29 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
25 services25 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490115
Location200 Hospital DriveGalax, VA 24333 · Galax City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%51 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
57%92 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
46%103 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
52%29 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
5%41 patients1/55-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.

Other Providers at the Same Location NPPES 14

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

BRANDON JENKINS DMD
Dentist (General Practice)
4622 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 765-3357
DR. JOEL CLARENCE MORGAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4622 COUNTRY CLUB RD, SUITE 180
WINSTON SALEM, NC 27104
Forsyth County (336) 768-9535
SAMUEL PORTER JACKS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4622 COUNTRY CLUB RD, SUITE 180
WINSTON SALEM, NC 27104
Forsyth County (336) 768-9535
NOVANT HEALTH MEDICAL GROUP, LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4622 COUNTRY CLUB RD, SUITE 180
WINSTON SALEM, NC 27104
Forsyth County (336) 768-9535
DR. RONALD WILLIAM LOGAN JR. D.D.S.
Dentist (General Practice)
4622 COUNTRY CLUB RD, SUITE 240
WINSTON SALEM, NC 27104
Forsyth County (336) 760-9400
JESSICA NICIA STRICKLAND
Physician Assistant
4622 COUNTRY CLUB RD, SUITE 180
WINSTON SALEM, NC 27104
Forsyth County (336) 768-9535
DRS J LOVELAND AND R WALKER II, PLLC
Clinic/Center (Dental)
4622 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 765-3357
LINDSAY SCALES MORGAN PA-C
Physician Assistant
4622 COUNTRY CLUB RD, SUITE 180
WINSTON SALEM, NC 27104
Forsyth County (336) 768-9535

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 David Duncan's NPI number?

The NPI number for David Duncan is 1124004122. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is David Duncan located?

David Duncan practices at 4622 Country Club Rd Suite 180, Winston-Salem, NC 27104. The listed phone number is (336) 768-9535.

What is David Duncan's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is David Duncan enrolled in Medicare?

Yes. David 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 David Duncan accept?

Health plans from Blue Cross and Blue Shield of NC list David 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 David Duncan affiliated with any hospitals?

According to CMS data, David Duncan is affiliated with Novant Health Forsyth Medical Center and Twin County Regional Hospital.

When was this NPI record last updated?

The NPPES record for David Duncan was last updated on October 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.