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LAURA S DUNCAN MD
NPI 1265464408
Internal Medicine in New Berlin, WI

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
14555 W NATIONAL AVE, NEW BERLIN, WI 53151(262) 827-3636 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2026, Dec 1, 2021, Dec 20, 2017 (3 updates tracked since 2017).

About Laura S Duncan Md NPPES

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

LAURA S DUNCAN MD (NPI 1265464408) is an individual internal medicine provider in New Berlin, Wisconsin, licensed in Wisconsin (35920) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Medical College Of Wisconsin (1993).

NPPES Registry Identity

NPI1265464408
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAURA S DUNCANCredential: MD
Location Address14555 W NATIONAL AVENew Berlin, WI 53151-4494
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 827-3636
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1993
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1265464408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 35920
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 35920 (WI)
14555 W NATIONAL AVE, New Berlin, WI 53151
Open in Google Maps ↗

Other Identifiers 2

Medicaid32301300WI
OtherP00449581WI · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Laura S 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.

PECOS PAC ID9234153412
PECOS Enrollment IDI20060116000371
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 7

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.
156 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
31 services30 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.
23 services21 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.
17 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53151 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

MS. ANNE E WALZ CALVEY PA-C
Physician Assistant
14555 W NATIONAL AVE, SUITE 165
NEW BERLIN, WI 53151
Waukesha County (262) 827-3636
ORITSETIMEYIN E OTUBU-SCIPIO M.D.
Family Medicine
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (844) 284-0381
RUTH PENA PA-C
Physician Assistant (Medical)
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 693-4312
MICHELLE L MARTIN APNP
Nurse Practitioner
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-2955
BRIAN P. MCSORLEY M.D.
Family Medicine
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-2955
MARA M. SPENCER M.P.T.
Physical Therapist
14555 W NATIONAL AVE, STE. 135
NEW BERLIN, WI 53151
Waukesha County (262) 827-3180
DR. CHRISTINE MIERHA YANG R.PH
Pharmacist
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 827-9062
KYLA PHU APN
Nurse Practitioner
14555 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (844) 284-0381

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 Laura Duncan's NPI number?

The NPI number for Laura Duncan is 1265464408. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Laura Duncan located?

Laura Duncan practices at 14555 W National Ave, New Berlin, WI 53151. The listed phone number is (262) 827-3636.

What is Laura Duncan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Laura Duncan enrolled in Medicare?

Yes. Laura 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 Laura Duncan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Laura 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 Laura Duncan affiliated with any hospitals?

According to CMS data, Laura Duncan is affiliated with Aurora St Lukes Medical Center, West Allis Memorial Hospital and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Laura Duncan was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.