DUNCAN HARMON MD
NPI 1295122232
Obstetrics & Gynecology - Maternal & Fetal Medicine in Birmingham, AL

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
1700 6TH AVE S, BIRMINGHAM, AL 35233(205) 996-3130 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 26, 2025, Jul 7, 2022, Jan 24, 2020 (3 updates tracked since 2020).

About Duncan Harmon Md NPPES

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

DUNCAN HARMON MD (NPI 1295122232) is an individual maternal & fetal medicine provider in Birmingham, Alabama, licensed in Alabama (35566) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1295122232
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDUNCAN HARMONCredential: MD
Location Address1700 6TH AVE SBirmingham, AL 35233-1802
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2019
Enumeration DateApril 16, 2015
Last NPPES UpdateNovember 26, 20253 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1295122232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses Licensed in AL · 35566 Licensed in ID · M-16578
Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD192932 (OR), M-16578 (ID)
1700 6TH AVE S, Birmingham, AL 35233

Secondary Practice Locations 3

Location 1280 Maple StAshland, OR 97520-1552 · Phone (541) 201-4000
Location 23181 SW Sam Jackson Park Rd, # L466Portland, OR 97239 · Phone (503) 418-5542
Location 3333 N 1st St Ste 150Boise, ID 83702-6135 · Phone (208) 381-3088

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

Duncan Harmon 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 ID1355637844
PECOS Enrollment IDI20251208001018
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.

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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
1700 6TH AVE S, WIC - SUITE 176F
BIRMINGHAM, AL 35233
General Acute Care Hospital
1700 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Neonatal)
1700 6TH AVE S
BIRMINGHAM, AL 35233
Pediatrics (Pediatric Cardiology)
1700 6TH AVE S, SUITE 9100
BIRMINGHAM, AL 35233
Pediatrics (Pediatric Cardiology)
1700 6TH AVE S, SUITE 9100
BIRMINGHAM, AL 35233
Pediatrics (Pediatric Cardiology)
1700 6TH AVE S, SUITE 9100
BIRMINGHAM, AL 35233
Pediatrics (Pediatric Cardiology)
1700 6TH AVE S, STE 9100
BIRMINGHAM, AL 35233
Pediatrics (Pediatric Cardiology)
1700 6TH AVE S, SUITE 9100
BIRMINGHAM, AL 35233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295122232, enumerated as an "individual" on April 16, 2015.

The provider is located at 1700 6TH AVE S BIRMINGHAM, AL 35233 and the phone number is (205) 996-3130.

Obstetrics & Gynecology with taxonomy code 207VM0101X and a focus in Maternal & Fetal Medicine.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.

Duncan Harmon is affiliated with: ST LUKE'S REGIONAL MEDICAL CENTER and ST LUKE'S NAMPA MEDICAL CENTER.