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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: August 16, 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 is a graduate of University Of Alabama School Of Medicine (2019).

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
Phone(205) 996-3130
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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.

DREXELL H BOGGS M.D.
Radiology (Radiation Oncology)
1700 6TH AVE S, RM: 2253
BIRMINGHAM, AL 35233
Jefferson County (205) 975-9399
MADISON THOMAS HULKER WHNP
Nurse Practitioner (Women's Health)
1700 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3411
MS. JASMINE BOYKIN LPC
Counselor (Mental Health)
1700 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 529-7583
RICHARD OWN BURNEY MD
Obstetrics & Gynecology (Reproductive Endocrinology)
1700 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 996-3130
MALLORY REED LEEMAN
Registered Nurse
1700 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-7310
SAMUEL BENJAMIN HAYWORTH MD
Student in an Organized Health Care Education/Training Program
1700 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-5670
SEQUOIA ALEXUS BUCHANAN RN
Registered Nurse
1700 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 934-3411
KELSEY HALLMARK RN
Registered Nurse
1700 6TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 873-4277

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 Duncan Harmon's NPI number?

The NPI number for Duncan Harmon is 1295122232. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Duncan Harmon located?

Duncan Harmon practices at 1700 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 996-3130.

What is Duncan Harmon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Duncan Harmon enrolled in Medicare?

Yes. Duncan Harmon 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 Duncan Harmon accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Duncan Harmon 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 Duncan Harmon affiliated with any hospitals?

According to CMS data, Duncan Harmon is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Duncan Harmon was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.