LORRAINE DUNCAN MD
NPI 1265401376
Emergency Medicine in Miami, FL
About Lorraine Duncan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORRAINE DUNCAN MD (NPI 1265401376) is an individual emergency medicine provider in Miami, Florida, licensed in Florida (ME0088315) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Centerpoint Medical Center, and is a graduate of Rush Medical College Of Rush University (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lorraine Duncan Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lorraine Duncan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winter Park, FL 32789
- Reassigned Medicare billing, Florida enrollment
- 74 clinicians in this Medicare group
Independence, MO 64057
- Reassigned Medicare billing, Missouri enrollment
- 182 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Centerpoint Medical Center
Acute Care Hospitals · Independence, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIAMI BEACH, FL 33140
MIAMI BEACH, FL 33140
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 Lorraine Duncan's NPI number?
The NPI number for Lorraine Duncan is 1265401376. It was assigned to this individual provider in the NPPES registry on March 14, 2006.
Where is Lorraine Duncan located?
Lorraine Duncan practices at 4300 Alton Rd, Miami, FL 33140. The listed phone number is (305) 674-2064.
What is Lorraine Duncan's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Lorraine Duncan enrolled in Medicare?
Yes. Lorraine 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.
Which organizations bill Medicare for Lorraine Duncan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lorraine Duncan reassigns Medicare benefits to 2 organizations: Guidewell Emergency Medicine Doctors, LLC (Winter Park, FL) and Emergency Medicine Services Of Mo, LLC (Independence, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lorraine Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lorraine Duncan accept?
Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Lorraine 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 Lorraine Duncan affiliated with any hospitals?
According to CMS data, Lorraine Duncan is affiliated with Centerpoint Medical Center.
When was this NPI record last updated?
The NPPES record for Lorraine Duncan was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Lorraine Duncan, MD · NPI 1265401376
Emergency Medicine physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since March 14, 2006.
## Identity
- **NPI:** 1265401376 (Entity type: Individual)
- **Enumerated:** March 14, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** ME0088315 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4300 ALTON RD, Miami, FL 33140-2800
- **Phone:** (305) 674-2064
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Guidewell Emergency Medicine Doctors, LLC (NPI 1629497235, Winter Park, FL); Emergency Medicine Services Of Mo, LLC (NPI 1023715182, Independence, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 1999
## Record status
- **NPPES last updated:** December 6, 2007
- **Other identifiers:** Other 81671 (FL); Other P00294184 (FL); Medicare UPIN H69405 (FL); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1265401376) · Data from the CMS NPPES public registry.