THOMAS KOBINA DUNCAN DO
NPI 1316097439
Surgery in Ventura, CA

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
300 HILLMONT AVE STE 401, VENTURA, CA 93003(805) 652-6201(805) 641-4416 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2026, Jul 10, 2023 (2 updates tracked since 2023).

About Thomas Kobina Duncan Do NPPES

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

THOMAS KOBINA DUNCAN DO (NPI 1316097439) is an individual surgery provider in Ventura, California, licensed in California (20A6490) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1992).

NPPES Registry Identity

NPI1316097439
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS KOBINA DUNCANCredential: DO
Location Address300 HILLMONT AVE STE 401Ventura, CA 93003-1651
Mailing Address300 Hillmont Ave Ste 401Ventura, CA 93003-1651 · (805) 652-6201 · Fax (805) 641-4416
Fax(805) 641-4416
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1992
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1316097439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · 20A6490
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.

300 HILLMONT AVE STE 401, Ventura, CA 93003

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

Thomas Kobina Duncan Do 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 ID8921033325
PECOS Enrollment IDI20080326000316
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services17 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

Other Providers at the Same Location NPPES 10

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

Surgery
300 HILLMONT AVE STE 401
VENTURA, CA 93003
Surgery (Surgical Oncology)
300 HILLMONT AVE STE 401
VENTURA, CA 93003
Nurse Practitioner (Family)
300 HILLMONT AVE STE 401
VENTURA, CA 93003
Internal Medicine (Nephrology)
300 HILLMONT AVE STE 401
VENTURA, CA 93003
Hospitalist
300 HILLMONT AVE STE 401
VENTURA, CA 93003
Obstetrics & Gynecology
300 HILLMONT AVE STE 401
VENTURA, CA 93003
Neurological Surgery
300 HILLMONT AVE STE 401
VENTURA, CA 93003
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 HILLMONT AVE STE 401
VENTURA, CA 93003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316097439, enumerated as an "individual" on January 11, 2007.

The provider is located at 300 HILLMONT AVE STE 401 VENTURA, CA 93003 and the phone number is (805) 652-6201.

Surgery with taxonomy code 208600000X.