CONRAD J DUNCAN M.D.
NPI 1154390714
Obstetrics & Gynecology - Gynecology in Baltimore, MD

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
72.86/100
CMS Quality Rating
3407 WILKENS AVE, SUITE 210, BALTIMORE, MD 21229(410) 644-0929(410) 664-4338 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Conrad J Duncan M.d. NPPES

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

CONRAD J DUNCAN M.D. (NPI 1154390714) is an individual gynecology provider in Baltimore, Maryland, licensed in Maryland (D0045495) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and is a graduate of Yale University School Of Medicine (1984).

NPPES Registry Identity

NPI1154390714
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameCONRAD J DUNCANCredential: M.D.
Location Address3407 WILKENS AVE, SUITE 210Baltimore, MD 21229-5072
Mailing Address25 Crossroads Dr, Suite 306Owings Mills, MD 21117-5421 · (443) 738-2872 · Fax (443) 738-2713
Fax(410) 664-4338
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1984
Enumeration DateMarch 16, 2006
Last NPPES UpdateFebruary 3, 2014
NPI 1154390714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in MD · D0045495
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License D0045495 (MD)
3407 WILKENS AVE, Baltimore, MD 21229

Other Identifiers 3

Medicare UPINF69992
Medicaid005525500MD
Medicare PIN290283YZUMD

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

Conrad J Duncan M.d. 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 ID8921049669
PECOS Enrollment IDI20051026000377
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.

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.
104 services85 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients
Insertion of artificial material for pelvic floor defect 57267
This procedure involves placing a synthetic material in the lower abdomen area to rectify a structural issue. It helps in proper functioning of the body's support system. You may experience improved comfort and stability post-procedure.
51 services26 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
40 services38 patients
Repair of pelvic ligaments through vagina 57282
This procedure involves mending the supportive tissues in your lower body region, accessed via the birth canal. It helps enhance stability and alleviate discomfort. The process is performed under anesthesia, ensuring a pain-free experience.
26 services26 patients
Repair of bulging of rectum and bladder into vaginal wall 57265
This procedure involves correcting a condition where the rectum and bladder bulge into the vaginal wall, causing discomfort. The operation helps to restore these organs to their normal position, improving comfort and functionality.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210048
Location5755 Cedar LaneColumbia, MD 21044 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21229 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

72.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.18
Promoting Interoperability95
Improvement Activities40
Cost48.84

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.

Registered Nurse (Ambulatory Care)
3407 WILKENS AVE
BALTIMORE, MD 21229
Internal Medicine (Interventional Cardiology)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Urology
3407 WILKENS AVE
BALTIMORE, MD 21229
Clinic/Center (Ambulatory Surgical)
3407 WILKENS AVE, SUITE 200
BALTIMORE, MD 21229
Internal Medicine (Cardiovascular Disease)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Urology
3407 WILKENS AVE, SUITE 210
BALTIMORE, MD 21229
Internal Medicine (Cardiovascular Disease)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229
Internal Medicine (Interventional Cardiology)
3407 WILKENS AVE, SUITE 300
BALTIMORE, MD 21229

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 Conrad Duncan's NPI number?

The NPI number for Conrad Duncan is 1154390714. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Conrad Duncan located?

Conrad Duncan practices at 3407 Wilkens Ave Suite 210, Baltimore, MD 21229. The listed phone number is (410) 644-0929.

What is Conrad Duncan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Conrad Duncan enrolled in Medicare?

Yes. Conrad 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.

Is Conrad Duncan affiliated with any hospitals?

According to CMS data, Conrad Duncan is affiliated with Saint Agnes Hospital and Johns Hopkins Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Conrad Duncan was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.