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DR. JARED E DUNCAN M.D.
NPI 1215165352
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Lexington, MA

Active since June 28, 2009PECOS Enrolled
21 WORTHEN RD, LEXINGTON, MA 02421(781) 862-1620 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jared E Duncan M.d. NPPES

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

DR. JARED E DUNCAN M.D. (NPI 1215165352) is an individual pediatric ophthalmology and strabismus specialist in Lexington, Massachusetts, licensed in Massachusetts (291503) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1215165352
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameDR. JARED E DUNCANCredential: M.D.
Location Address21 WORTHEN RDLexington, MA 02421-4835
Mailing Address21 Worthen RdLexington, MA 02421-4835 · (781) 862-1620
Phone(781) 862-1620
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2009
Enumeration DateJune 28, 2009
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1215165352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in MA · 291503
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
21 WORTHEN RD, Lexington, MA 02421
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Secondary Practice Location 1

Location 12100 Erwin RdDurham, NC 27710-3951 · Phone (919) 684-8111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jared E Duncan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234371527
PECOS Enrollment IDI20220606001301
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 3

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
112 services93 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.
79 services74 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.
35 services32 patients

Hospital Affiliations CMS Care Compare

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

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02421 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

DANIEL W TOLPIN MD
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
LEXINGTON EYE ASSOCIATES - HIGHLAND HEALTHCARE
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
DR. OLIVIA LIAO MD
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
LEXINGTON EYE ASSOCIATES, INC.
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
DR. ANN PAWLOWSKI BURNHAM M.D.
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
DR. JENNIFER MULLON M.D.
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620
MS. SUZANNE MORSE-FORTIER LICSW
Social Worker
21 WORTHEN RD, SUITE 2
LEXINGTON, MA 02421
Middlesex County (781) 879-3257
DR. LI-WEI LIN M.D.
Ophthalmology
21 WORTHEN RD
LEXINGTON, MA 02421
Middlesex County (781) 862-1620

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 Jared Duncan's NPI number?

The NPI number for Jared Duncan is 1215165352. It was assigned to this individual provider in the NPPES registry on June 28, 2009.

Where is Jared Duncan located?

Jared Duncan practices at 21 Worthen Rd, Lexington, MA 02421. The listed phone number is (781) 862-1620.

What is Jared Duncan's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Jared Duncan enrolled in Medicare?

Yes. Jared Duncan is registered in the Medicare PECOS enrollment system.

What insurance does Jared Duncan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Jared 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 Jared Duncan affiliated with any hospitals?

According to CMS data, Jared Duncan is affiliated with Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Jared Duncan was last updated on June 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.