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LESLIE DUNCAN CRNP
NPI 1265082978
Nurse Practitioner - Family in Laurel, MD

Active since September 14, 2019PECOS EnrolledAccepts Medicare Assignment
83.33/100
CMS Quality Rating
13994 BALTIMORE AVE STE 101, LAUREL, MD 20707(240) 636-9849 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2022, Sep 14, 2019 (2 updates tracked since 2019).

About Leslie Duncan Crnp NPPES

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

LESLIE DUNCAN CRNP (NPI 1265082978) is an individual family provider in Laurel, Maryland, licensed in Maryland (R199975) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265082978
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLESLIE DUNCANCredential: CRNP
Location Address13994 BALTIMORE AVE STE 101Laurel, MD 20707-5087
Mailing Address12908 Golden Oak DrLaurel, MD 20708-2330 · (301) 776-4482
Phone(240) 636-9849
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 14, 2019
Last NPPES UpdateJanuary 28, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2022
✔ NPI 1265082978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R199975
13994 BALTIMORE AVE STE 101, Laurel, MD 20707
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Leslie Duncan Crnp 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 ID9830502392
PECOS Enrollment IDI20230811003025
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 6

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.

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.
54 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 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.
39 services37 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.
20 services20 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20707 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

83.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.7
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

KAYLA EMMA MEIXNER RD
Dietitian, Registered
13994 BALTIMORE AVE STE 101
LAUREL, MD 20707
Prince George's County (240) 636-9849
BLOSSOMING MINDS PEDIATRICS
Clinic/Center (Medical Specialty)
13994 BALTIMORE AVE STE 101
LAUREL, MD 20707
Prince George's County (410) 656-4775
CHARM CITY SPEECH, LLC
Speech-Language Pathologist
13994 BALTIMORE AVE STE 101
LAUREL, MD 20707
Prince George's County (443) 718-0563

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 Leslie Duncan's NPI number?

The NPI number for Leslie Duncan is 1265082978. It was assigned to this individual provider in the NPPES registry on September 14, 2019.

Where is Leslie Duncan located?

Leslie Duncan practices at 13994 Baltimore Ave Ste 101, Laurel, MD 20707. The listed phone number is (240) 636-9849.

What is Leslie Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leslie Duncan enrolled in Medicare?

Yes. Leslie 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.

Is Leslie Duncan affiliated with any hospitals?

According to CMS data, Leslie Duncan is affiliated with Mercy Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Leslie Duncan was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.