DUNCAN B JOHNSTONE MD, PHD
NPI 1225041544
Internal Medicine - Nephrology in Kansas City, KS

Q: What is Duncan Johnstone's NPI number?

The NPI number for Duncan Johnstone is 1225041544. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Duncan Johnstone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Duncan Johnstone was last updated on April 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment

91.89/100

CMS Quality Rating

3901 RAINBOW BLVD, KANSAS CITY, KS 66160(913) 588-6074(913) 588-3867 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2026, May 5, 2023, Mar 25, 2021 and 1 more (4 updates tracked since 2018).

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About Duncan B Johnstone Md, Phd NPPES

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

DUNCAN B JOHNSTONE MD, PHD (NPI 1225041544) is an individual nephrology provider in Kansas City, Kansas, licensed in Kansas (04-47576) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains a secondary practice location in Liberty.

NPPES Registry Identity

NPI1225041544

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDUNCAN B JOHNSTONECredential: MD, PHD

Location Address3901 RAINBOW BLVDKansas City, KS 66160-5103

Mailing Address3901 Rainbow BlvdKansas City, KS 66160-8500 · (913) 588-6074 · Fax (913) 588-3867

Phone(913) 588-6074

Fax(913) 588-3867

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2001

Enumeration DateAugust 15, 2006

Last NPPES UpdateApril 3, 20264 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1225041544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in KS · 04-47576✔ Licensed in PA · MD438144

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3901 RAINBOW BLVD, Kansas City, KS 66160

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Secondary Practice Location 1

Location 12521 Glenn Hendren Dr Ste 202Liberty, MO 64068-3388 · Phone (816) 415-3470

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 Kansas City, Blue Cross and Blue Shield of Kansas, Inc. 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 and accepts Medicare assignment

Duncan B Johnstone Md, Phd 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 ID4789685827

PECOS Enrollment IDI20230525000281, I20250407001964

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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

107 services45 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

59 services40 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.

56 services34 patients

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.

42 services42 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.

36 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services30 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260177

Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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.

91.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.17

Promoting Interoperability

100

Improvement Activities

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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.

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