DR. BRIAN RUSSELL DUNCAN M.D.
NPI 1225188873
Orthopaedic Surgery in Atchison, KS

Q: What is Brian Duncan's NPI number?

The NPI number for Brian Duncan is 1225188873. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Brian Duncan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Duncan was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 January 12, 2007PECOS EnrolledAccepts Medicare Assignment

96.6/100

CMS Quality Rating

800 RAVENHILL DR, ATCHISON, KS 66002(913) 367-2131 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Nov 3, 2025, Aug 13, 2025 and 2 more (5 updates tracked since 2019).

On this page

About Dr. Brian Russell Duncan M.d. NPPES

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

DR. BRIAN RUSSELL DUNCAN M.D. (NPI 1225188873) is an individual orthopaedic surgery provider in Atchison, Kansas, licensed in Kansas (04-32340) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Hiawatha Community Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1225188873

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. BRIAN RUSSELL DUNCANCredential: M.D.

Location Address800 RAVENHILL DRAtchison, KS 66002-9204

Mailing Address800 Ravenhill DrAtchison, KS 66002-9204 · (913) 367-2131

Phone(913) 367-2131

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2002

Enumeration DateJanuary 12, 2007

Last NPPES UpdateMarch 11, 20265 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1225188873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in KS · 04-32340✔ Licensed in MO · 2011013949

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

800 RAVENHILL DR, Atchison, KS 66002

Open in Google Maps ↗

Secondary Practice Locations 4

Location 11004 Progress Dr Ste 180&145Lansing, KS 66043-6326 · Phone (913) 297-3215

Location 2800 Ravenhill Dr Ste 100&107Atchison, KS 66002-9204 · Phone (913) 367-7300

Location 3300 Utah StHiawatha, KS 66434-2326 · Phone (785) 742-2131

Location 4300 Utah St Fl 2Hiawatha, KS 66434-2314 · Phone (785) 742-2161 · Fax (785) 742-6558

Other Identifiers 2

Other16289094KS · Ptan

Medicaid30004206920002KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Dr. Brian Russell 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 ID6608047535

PECOS Enrollment IDI20110926000060, I20150506002138

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 9

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.

Injection, ropivacaine hydrochloride, 1 mg J2795

Ropivacaine hydrochloride is a local anesthetic used to numb specific areas of your body during minor surgical procedures or to relieve pain. The medicine is injected into the area requiring anesthesia.

445 services106 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.

391 services241 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

147 services115 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.

86 services86 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

81 services63 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

35 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Hiawatha Community Hospital

Critical Access Hospitals · Hiawatha, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number171341

Location300 Utah StreetHiawatha, KS 66434 · Brown County

Emergency services Birthing friendly

Amberwell Atchison Association

Critical Access Hospitals · Atchison, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171382

Location800 Raven Hill DriveAtchison, KS 66002 · Atchison County

Emergency services Birthing friendly

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260006

Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66002 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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.

96.6/100

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

Scored as part of a group practice

Quality

92.24

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

98%56 patients4/55-star benchmark: 100%

Breast Cancer Screening

73%275 patients4/55-star benchmark: 93%

Controlling High Blood Pressure

74%371 patients4/55-star benchmark: 91%

e-Prescribing

98%262 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

98%402 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

85%684 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

32%881 patients3/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

95%1,205 patients4/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$114.88 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 20

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

DR. EMILY HANSEN PHARMD

Pharmacist (Pharmacotherapy)