KAREN MARIE DUNCAN MD
NPI 1356577977
Obstetrics & Gynecology in New York, NY

Active since June 10, 2009PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
159 E 53RD ST, NEW YORK, NY 10022(646) 754-2700 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Marie Duncan Md NPPES

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

KAREN MARIE DUNCAN MD (NPI 1356577977) is an individual obstetrics & gynecology provider in New York, New York, licensed in New York (273957) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Bellevue Hospital Center, and is a graduate of University Of South Florida College Of Medicine (2009).

NPPES Registry Identity

NPI1356577977
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKAREN MARIE DUNCANCredential: MD
Location Address159 E 53RD STNew York, NY 10022-4602
Mailing Address159 E 53rd StNew York, NY 10022-4602 · (813) 844-7412
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2009
Enumeration DateJune 10, 2009
Last NPPES UpdateMay 1, 2023
NPPES CertifiedMay 1, 2023
NPI 1356577977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in NY · 273957 Licensed in FL · ME116416
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
159 E 53RD ST, New York, NY 10022

Other Identifiers 2

Other14R2HFL · Blue Cross Blue Shield
Medicaid009044600FL

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

Karen Marie Duncan 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 ID2567604937
PECOS Enrollment IDI20210909003414
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 2

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
46 services46 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Bellevue Hospital Center

Acute Care Hospitals · New York, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330204
Location462 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 6

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

Obstetrics & Gynecology (Maternal & Fetal Medicine)
159 E 53RD ST
NEW YORK, NY 10022
Obstetrics & Gynecology (Reproductive Endocrinology)
159 E 53RD ST
NEW YORK, NY 10022
Nurse Practitioner (Family)
159 E 53RD ST
NEW YORK, NY 10022
Internal Medicine (Rheumatology)
159 E 53RD ST
NEW YORK, NY 10022
Obstetrics & Gynecology
159 E 53RD ST
NEW YORK, NY 10022
Obstetrics & Gynecology
159 E 53RD ST
NEW YORK, NY 10022

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 Karen Duncan's NPI number?

The NPI number for Karen Duncan is 1356577977. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Karen Duncan located?

Karen Duncan practices at 159 E 53rd St, New York, NY 10022. The listed phone number is (646) 754-2700.

What is Karen Duncan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karen Duncan enrolled in Medicare?

Yes. Karen 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.

Is Karen Duncan affiliated with any hospitals?

According to CMS data, Karen Duncan is affiliated with Bellevue Hospital Center.

When was this NPI record last updated?

The NPPES record for Karen Duncan was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.