SCOTT W DUNCAN MD NPI 1245217041
Anesthesiology in Houston, TX

About SCOTT W DUNCAN MD

Scott Duncan is an anesthesiologist established in Houston, Texas and his medical specialization is Anesthesiology with more than 33 years of experience. The NPI number of Scott Duncan is 1245217041 and was assigned on December 2005. The practitioner's primary taxonomy code is 207L00000X with license number J6931 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1245217041
Provider Name SCOTT W DUNCAN MD
Location Address2411 FOUNTAIN VIEW DR STE. 200 HOUSTON, TX 77057
Location Phone(713) 620-4000
Mailing Address2411 FOUNTAIN VIEW DR STE. 200 HOUSTON, TX 77057
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1990
Is Sole Proprietor?No
Enumeration Date12-22-2005
Last Update Date06-01-2011

An anesthesiologist like Scott W Duncan Md manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.Scott Duncan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Scott Duncan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Memorial Hermann Memorial City Hospital and Oakbend Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.5, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.J6931
License StateTX
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

SCOTT W DUNCAN MD
2411 FOUNTAIN VIEW DR
STE. 200
HOUSTON, TX
ZIP 77057
Phone: (713) 620-4000

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Mailing Address

SCOTT W DUNCAN MD
2411 FOUNTAIN VIEW DR
STE. 200
HOUSTON, TX
ZIP 77057
Phone: (713) 620-4000


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5092797712
PECOS Enrollment IDI20041115000894
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 72.8
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 81.6
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 80.5
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Scott Duncan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MEMORIAL HERMANN MEMORIAL CITY HOSPITAL921 GESSNER
HOUSTON, TX 77024
(713) 242-3000Acute Care Hospitals450610
OAKBEND MEDICAL CENTER1705 JACKSON ST
RICHMOND, TX 77469
(281) 341-3000Acute Care Hospitals450330

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
TX117094MEDICARE PIN (08)TX
F88383MEDICARE UPIN (02)
00957XMEDICARE PIN (08)
8D0896MEDICARE ID-TYPE UNSPECIFIED (04)TX
8CR335OTHER (01)TXBLUE CROSS BLUE SHIELD
029678204MEDICAID (05)TX

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245217041
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285411408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 1 + 1 + 4 + 0 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1245217041 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467453217 NHA VAN NGUYEN M.D.
Individual
Anesthesiology2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1962403758 LAURENCE KAM M.D.
Individual
Anesthesiology2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1922092170 PATI JEAN SPRAGUE CRNA
Individual
Nurse Anesthetist, Certified Registered2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1033107339DR. JORGE PABLO FREIMAN M.D.
Individual
Anesthesiology2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1285622159DR. ARABA QUANSAH M.D.
Individual
Anesthesiology2411 FOUNTAIN VIEW DR SUITE 200
HOUSTON, TX 77057
(713) 620-4000
1073501920 ROMMEL M CRUZ CRNA
Individual
Nurse Anesthetist, Certified Registered2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1730178245DR. DY TIEN NGUYEN M.D.
Individual
Anesthesiology2411 FOUNTAIN VIEW DR SUITE 200
HOUSTON, TX 77057
(713) 620-4000
1851372734 ANITA MARIE BERTRAND CRNA
Individual
Nurse Anesthetist, Certified Registered2411 FOUNTAIN VIEW DR SUITE 200
HOUSTON, TX 77057
(713) 620-4000
1457334955 DOROTHY WILLIS M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2411 FOUNTAIN VIEW DR SUITE 200
HOUSTON, TX 77057
(713) 620-4000
1649254988 ANGELA DANIELS CRNA
Individual
Nurse Anesthetist, Certified Registered2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1790769784 GEORGE WILLIAM PEARSON CRNA
Individual
Nurse Anesthetist, Certified Registered2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1275510083 CURTIS DAVID WARRINGTON MD
Individual
Anesthesiology2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1659358125 DANA FISHER C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered2411 FOUNTAIN VIEW DR SUITE 200
HOUSTON, TX 77057
(713) 620-4000
1811976350 ANGELA DAVIDSON
Individual
Nurse Anesthetist, Certified Registered2411 FOUNTAIN VIEW DR SUITE 200
HOUSTON, TX 77057
(713) 620-4000
1114907169DR. KERRY CHARLES LATCH M.D.
Individual
Anesthesiology2411 FOUNTAIN VIEW DR SUITE 200
HOUSTON, TX 77057
(713) 620-4000
1407823974DR. SUSAN SOLETSKY MD
Individual
Anesthesiology2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1093782096DR. CHRISTOPHER LAWRENCE HUTSON M.D.
Individual
Anesthesiology2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1326016007MRS. ELLEN PENTECOST MCPHATE CRNA, MS
Individual
Nurse Anesthetist, Certified Registered2411 FOUNTAIN VIEW DR STE. 200
HOUSTON, TX 77057
(713) 620-4000
1275581563DR. RAVI WAHI
Individual
Anesthesiology2411 FOUNTAIN VIEW DR SUITE 200
HOUSTON, TX 77057
(713) 620-4000
1568411528 EILEEN LAI
Individual
Anesthesiologist Assistant2411 FOUNTAIN VIEW DR SUITE 200
HOUSTON, TX 77057
(713) 620-4000

Frequently Asked Questions

What is Scott Duncan MD NPI number?

The NPI number assigned to Scott Duncan MD is 1245217041, registered as an "individual" on December 22, 2005

Where is Scott Duncan MD located?

The provider is located at 2411 Fountain View Dr Ste. 200 Houston, Tx 77057 and the phone number is (713) 620-4000

Which is Scott Duncan MD specialty?

The provider's speciality is Anesthesiology

How many years of experience does Scott Duncan MD have?

The provider has more than 33 years of experience.

What insurance does Scott Duncan MD accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Scott Duncan MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Is Scott Duncan MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: MEMORIAL HERMANN MEMORIAL CITY HOSPITAL and OAKBEND MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Scott Duncan MD was last updated on December 22, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]