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TIMOTHY LINCK DUNCAN
NPI 1235765108
Emergency Medicine in Vernal, UT

Active since March 22, 2020PECOS EnrolledAccepts Medicare Assignment
99.76/100
CMS Quality Rating
405 N 500 W, VERNAL, UT 84078(435) 789-4691(435) 722-9291 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Linck Duncan NPPES

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

TIMOTHY LINCK DUNCAN (NPI 1235765108) is an individual emergency medicine provider in Vernal, Utah, licensed in Utah (13194362-1205) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Uintah Basin Medical Center, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1235765108
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTIMOTHY LINCK DUNCAN
Location Address405 N 500 WVernal, UT 84078-1907
Mailing Address250 W 300 NRoosevelt, UT 84066-2351 · (435) 725-7448 · Fax (435) 722-9291
Phone(435) 789-4691
Fax(435) 722-9291
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020
Enumeration DateMarch 22, 2020
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1235765108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in UT · 13194362-1205
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
405 N 500 W, Vernal, UT 84078
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Secondary Practice Location 1

Location 11 Medical Center DrMorgantown, WV 26506-1200 · Phone (304) 293-2436 · Fax (304) 293-6702

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Timothy Linck 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.

PECOS PAC ID547636516
PECOS Enrollment IDI20230428001530
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
52 services47 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
42 services40 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
29 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services26 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84078 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

99.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.21

Other Providers at the Same Location NPPES 5

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

DR. MIKE T MATHIS PHARMD
Pharmacist
405 N 500 W
VERNAL, UT 84078
Uintah County (435) 781-3488
UINTAH BASIN MEDICAL CENTER
Pharmacy (Community/Retail Pharmacy)
405 N 500 W
VERNAL, UT 84078
Uintah County (435) 725-2054
ROCKHILL FOOT & ANKLE SURGERY
Podiatrist (Foot & Ankle Surgery)
405 N 500 W
VERNAL, UT 84078
Uintah County (801) 709-4680
UINTAH BASIN MEDICAL CENTER
Clinic/Center (Rural Health)
405 N 500 W
VERNAL, UT 84078
Uintah County (435) 789-6203
UINTAH BASIN MEDICAL CENTER
General Acute Care Hospital
405 N 500 W
VERNAL, UT 84078
Uintah County (435) 789-4691

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 Timothy Duncan's NPI number?

The NPI number for Timothy Duncan is 1235765108. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Where is Timothy Duncan located?

Timothy Duncan practices at 405 N 500 W, Vernal, UT 84078. The listed phone number is (435) 789-4691.

What is Timothy Duncan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Timothy Duncan enrolled in Medicare?

Yes. Timothy 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 Timothy Duncan accept?

Health plans from CareSource list Timothy 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 Timothy Duncan affiliated with any hospitals?

According to CMS data, Timothy Duncan is affiliated with Uintah Basin Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Duncan was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.