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MS. TRACY G DUNCAN ARNP
NPI 1295017598
Nurse Practitioner - Family in Keene, NH

Active since September 13, 2011PECOS EnrolledAccepts Medicare Assignment
78.61/100
CMS Quality Rating

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2021, Dec 14, 2021, Dec 14, 2016 (3 updates tracked since 2016).

About Ms. Tracy G Duncan Arnp NPPES

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

MS. TRACY G DUNCAN ARNP (NPI 1295017598) is an individual family provider in Keene, New Hampshire, licensed in New Hampshire (067397-23) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1295017598
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TRACY G DUNCANCredential: ARNP
Location Address590 COURT STKeene, NH 03431
Mailing Address590 Court StKeene, NH 03431 · (603) 354-5400
Phone(603) 354-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 13, 2011
Last NPPES UpdateDecember 27, 20213 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
✔ NPI 1295017598 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 NH · 067397-23
590 COURT ST, Keene, NH 03431
Open in Google Maps ↗

Other Identifiers 1

Other067397-23NH · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Ms. Tracy G Duncan Arnp 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 ID8729251897
PECOS Enrollment IDI20131112000607
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 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.

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.
234 services222 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.
162 services160 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 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03431 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

78.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.22
Promoting Interoperability100
Improvement Activities40
Cost53.49

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%3,033 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
18%428 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%271 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%640 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%640 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
49%640 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
57%640 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KRISTIE N LA MONICA PA
Physician Assistant (Medical)
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5496
DR. LESLIE THOMAS PITTS M.D.
Family Medicine
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5454
DR. HEIDI FEDRIZZI RINEHART MD
Obstetrics & Gynecology
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
MRS. JESSE R RIDGWAY CNM
Advanced Practice Midwife
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-6534
DR. OLIVIER P VAN HOUTTE MD
Surgery
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
DR. MURPHY R NEENAN APRN
Nurse Practitioner (Family)
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
DR. PAUL C. BETTINGER M.D.
Orthopaedic Surgery (Hand Surgery)
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5454
MICHELE L PARR CRNA
Nurse Anesthetist, Certified Registered
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-6534

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 Tracy Duncan's NPI number?

The NPI number for Tracy Duncan is 1295017598. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Tracy Duncan located?

Tracy Duncan practices at 590 Court St, Keene, NH 03431. The listed phone number is (603) 354-5400.

What is Tracy Duncan's specialty?

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

Is Tracy Duncan enrolled in Medicare?

Yes. Tracy 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 Tracy Duncan accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Tracy 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 Tracy Duncan affiliated with any hospitals?

According to CMS data, Tracy Duncan is affiliated with Mary Hitchcock Memorial Hospital and Cheshire Medical Center.

When was this NPI record last updated?

The NPPES record for Tracy Duncan was last updated on December 27, 2021. 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.