MATTHEW DUNCAN MD
NPI 1275533051
Radiology - Diagnostic Radiology in Dayton, OH

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
80.68/100
CMS Quality Rating
1 WYOMING ST, DAYTON, OH 45409(937) 208-3118 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Duncan Md NPPES

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

MATTHEW DUNCAN MD (NPI 1275533051) is an individual diagnostic radiology provider in Dayton, Ohio, licensed in Ohio (35.076842) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1998).

NPPES Registry Identity

NPI1275533051
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMATTHEW DUNCANCredential: MD
Location Address1 WYOMING STDayton, OH 45409-2722
Mailing AddressPo Box 750243Dayton, OH 45475-0243 · (937) 709-5051 · Fax (937) 709-5050
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1998
Enumeration DateJuly 22, 2005
Last NPPES UpdateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
NPI 1275533051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in OH · 35.076842 Licensed in CA · A90201
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License A90201 (CA)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License A90201 (CA)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License A90201 (CA)
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License A90201 (CA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License A90201 (CA)
Also ListedRadiology · Radiological PhysicsTaxonomy 2085R0205X · License A90201 (CA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License A90201 (CA)
1 WYOMING ST, Dayton, OH 45409

Accepted 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

Matthew 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 ID3173566007
PECOS Enrollment IDI20050602000266, I20070207000265
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 25

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.

Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
289 services280 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
273 services268 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
226 services224 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
167 services162 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
151 services143 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
150 services148 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

80.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.94
Improvement Activities40
Cost59.54

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.

Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Pharmacist
1 WYOMING ST
DAYTON, OH 45409

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 Matthew Duncan's NPI number?

The NPI number for Matthew Duncan is 1275533051. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Matthew Duncan located?

Matthew Duncan practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-3118.

What is Matthew Duncan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Matthew Duncan enrolled in Medicare?

Yes. Matthew 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 Matthew Duncan accept?

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

According to CMS data, Matthew Duncan is affiliated with Mercy Health-Anderson Hospital, Miami Valley Hospital, Atrium Medical Center, Kettering Health Dayton and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Duncan was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.