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DR. CRAIG A DUNCAN D.O.
NPI 1275540544
Surgery in Cheboygan, MI

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
810 S MAIN ST, SUITE 1, CHEBOYGAN, MI 49721(231) 627-4364(231) 627-7758 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Craig A Duncan D.o. NPPES

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

DR. CRAIG A DUNCAN D.O. (NPI 1275540544) is an individual surgery provider in Cheboygan, Michigan, licensed in Michigan (5101014492) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Central Michigan, and is a graduate of Ohio University, College Of Osteopathic Medicine (1990).

NPPES Registry Identity

NPI1275540544
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CRAIG A DUNCANCredential: D.O.
Location Address810 S MAIN ST, SUITE 1Cheboygan, MI 49721-2290
Mailing Address810 S Main St, Suite 1Cheboygan, MI 49721-2290 · (231) 627-4364 · Fax (231) 627-7758
Phone(231) 627-4364
Fax(231) 627-7758
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1990
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275540544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 5101014492
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
810 S MAIN ST, Cheboygan, MI 49721
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Other Identifiers 3

Medicare UPINF98358MI
Medicare ID-Type UnspecifiedM97860001MI
Medicaid4185736MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Craig A Duncan D.o. 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 ID547215808
PECOS Enrollment IDI20080731000681
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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
96 services94 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
32 services30 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
15 services15 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
14 services14 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
13 services13 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49721 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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.

Other Providers at the Same Location NPPES 2

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

T.M. BURANDT D.O. & ASSOCIATES PC
Surgery
810 S MAIN ST, SUITE 1
CHEBOYGAN, MI 49721
Cheboygan County (231) 627-4364
JEFFREY K CHAULK MD PC
Ophthalmology
810 S MAIN ST, SUITE 3
CHEBOYGAN, MI 49721
Cheboygan County (231) 627-3169

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 Craig Duncan's NPI number?

The NPI number for Craig Duncan is 1275540544. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Craig Duncan located?

Craig Duncan practices at 810 S Main St Suite 1, Cheboygan, MI 49721. The listed phone number is (231) 627-4364.

What is Craig Duncan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Craig Duncan enrolled in Medicare?

Yes. Craig 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 Craig Duncan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Craig 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 Craig Duncan affiliated with any hospitals?

According to CMS data, Craig Duncan is affiliated with Mclaren Central Michigan and Mclaren Northern Michigan.

When was this NPI record last updated?

The NPPES record for Craig Duncan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.