SONJA DUNCAN
NPI 1184009995
Physician Assistant in Huntington, IN
About Sonja Duncan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SONJA DUNCAN (NPI 1184009995) is an individual physician assistant in Huntington, Indiana, licensed in Indiana (10001882A) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
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.
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
Sonja 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkview Regional Medical Center
Acute Care Hospitals · Fort Wayne, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46750 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sonja Duncan's NPI number?
The NPI number for Sonja Duncan is 1184009995. It was assigned to this individual provider in the NPPES registry on July 22, 2015.
Where is Sonja Duncan located?
Sonja Duncan practices at 2708 Guilford St, Huntington, IN 46750. The listed phone number is (260) 355-3900.
What is Sonja Duncan's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Sonja Duncan enrolled in Medicare?
Yes. Sonja 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 Sonja Duncan accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Sonja 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 Sonja Duncan affiliated with any hospitals?
According to CMS data, Sonja Duncan is affiliated with Parkview Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Sonja Duncan was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
