KATHYANN S DUNCAN M.D.
NPI 1215049630
Family Medicine in Vauxhall, NJ

Q: What is Kathyann Duncan's NPI number?

The NPI number for Kathyann Duncan is 1215049630. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Kathyann Duncan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathyann Duncan was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 31, 2006PECOS Enrolled

3 FARRINGTON ST, VAUXHALL, NJ 07088(908) 868-8904(973) 762-4955 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kathyann S Duncan M.d. NPPES

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

KATHYANN S DUNCAN M.D. (NPI 1215049630) is an individual family medicine provider in Vauxhall, New Jersey, licensed in New Jersey (25MA06382900) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1994).

NPPES Registry Identity

NPI1215049630

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKATHYANN S DUNCANCredential: M.D.

Location Address3 FARRINGTON STVauxhall, NJ 07088-1307

Mailing Address2040 Millburn Ave, Suite 303Maplewood, NJ 07040-3726 · (973) 762-4944 · Fax (973) 762-4955

Phone(908) 868-8904

Fax(973) 762-4955

Sole ProprietorYes

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1994

Enumeration DateAugust 31, 2006

Last NPPES UpdateJanuary 26, 2024

NPPES CertifiedJanuary 26, 2024

✔ NPI 1215049630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA06382900

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.

3 FARRINGTON ST, Vauxhall, NJ 07088

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Other Identifiers 1

Medicaid7288301NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathyann S Duncan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597806380

PECOS Enrollment IDI20091230000281

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.

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.

29 services12 patients

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.

21 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07088 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Lead wires, (e.g., apnea monitor), per pair A4557

DME-Other DME · category DE000N

1 supplier16 claims16 services$8.50 avg. paid by Medicare

Gradient compression stocking, below knee, 30-40 mmhg, each A6531

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims52 services$41.73 avg. paid by Medicare

Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation E0730

DME-Other DME · category DE000N

1 supplier31 claims31 services$12.66 avg. paid by Medicare

Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf L0174

DME-Orthotic Devices · category DF000N

1 supplier17 claims17 services$207.06 avg. paid by Medicare

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631

DME-Orthotic Devices · category DF007N

1 supplier12 claims12 services$828.77 avg. paid by Medicare

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820

DME-Orthotic Devices · category DF011N

1 supplier16 claims23 services$114.35 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 12

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

ALYCE H CUDJOE MA, RD, CDCES

Dietitian, Registered