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MR. DUNCAN SCOTT MCHARDY FNP
NPI 1366098808
Nurse Practitioner - Family in O Fallon, MO

Active since August 12, 2019PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
20 PROGRESS POINT PKWY, DEPT ORTHOPAEDIC SURGERY, STE 114, O FALLON, MO 63368(314) 514-3500(314) 878-7678 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Aug 23, 2023 and 1 more (4 updates tracked since 2019).

About Mr. Duncan Scott Mchardy Fnp NPPES

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

MR. DUNCAN SCOTT MCHARDY FNP (NPI 1366098808) is an individual family provider in O Fallon, Missouri, licensed in Missouri (2019015723) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366098808
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DUNCAN SCOTT MCHARDYCredential: FNP
Location Address20 PROGRESS POINT PKWY, DEPT ORTHOPAEDIC SURGERY, STE 114O Fallon, MO 63368-2206
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 514-3500 · Fax (314) 878-7678
Phone(314) 514-3500
Fax(314) 878-7678
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 12, 2019
Last NPPES UpdateApril 17, 20254 updates tracked since enumeration
✔ NPI 1366098808 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 MO · 2019015723
20 PROGRESS POINT PKWY, O Fallon, MO 63368
Open in Google Maps ↗

Other Identifiers 1

Medicaid420074727MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Mr. Duncan Scott Mchardy Fnp 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 ID547591430
PECOS Enrollment IDI20191007003276
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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
120 services15 patients
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.
51 services40 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.
32 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

DR. CECILIA H YU MD
Pediatrics
20 PROGRESS POINT PKWY, STE 220
O FALLON, MO 63368
St. Charles County (636) 344-3333
DR. JOHN A MYERS MD
Pediatrics
20 PROGRESS POINT PKWY, STE 220
O FALLON, MO 63368
St. Charles County (636) 344-3333
WUCA-O'FALLON PEDIATRICS, LLC
Pediatrics
20 PROGRESS POINT PKWY, SUITE 220
O FALLON, MO 63368
St. Charles County (636) 344-3333
DR. NIKOL LEI SMART MD
Obstetrics & Gynecology
20 PROGRESS POINT PKWY, STE 206
O FALLON, MO 63368
St. Charles County (636) 344-1073
GINA VIRGINIA HERMSEN NELSON R.N.,C.P.N.P.
Nurse Practitioner (Pediatrics)
20 PROGRESS POINT PKWY, SUITE 220
O FALLON, MO 63368
St. Charles County (636) 344-3333
DR. ENMANUEL JOSE PEREZ MD
Psychiatry & Neurology (Neurology)
20 PROGRESS POINT PKWY
O FALLON, MO 63368
St. Charles County (636) 916-7060
MILTON OLUDHE OCHIENG' M.D.
Internal Medicine (Gastroenterology)
20 PROGRESS POINT PKWY, STE 108
O FALLON, MO 63368
St. Charles County (636) 344-1073
ANGELA C CLERCX NP-C
Nurse Practitioner (Family)
20 PROGRESS POINT PKWY, STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400

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 Mchardy's NPI number?

The NPI number for Duncan Mchardy is 1366098808. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Duncan Mchardy located?

Duncan Mchardy practices at 20 Progress Point Pkwy Dept Orthopaedic Surgery, Ste 114, O Fallon, MO 63368. The listed phone number is (314) 514-3500.

What is Duncan Mchardy's specialty?

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

Is Duncan Mchardy enrolled in Medicare?

Yes. Duncan Mchardy 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 Mchardy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Duncan Mchardy 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 Mchardy affiliated with any hospitals?

According to CMS data, Duncan Mchardy is affiliated with Ssm St Clare Health Center, Ssm Health St Mary's Hospital - St Louis and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Duncan Mchardy was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.