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BRAXTON RAY DUNCAN D.O.
NPI 1366973836
Emergency Medicine in Roosevelt, UT

Active since March 25, 2017PECOS EnrolledAccepts Medicare Assignment
99.76/100
CMS Quality Rating
250 W 300 N, ROOSEVELT, UT 84066(435) 722-4691 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2022, Jun 10, 2019, Mar 25, 2017 (3 updates tracked since 2017).

About Braxton Ray Duncan D.o. NPPES

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

BRAXTON RAY DUNCAN D.O. (NPI 1366973836) is an individual emergency medicine provider in Roosevelt, Utah, licensed in Utah (11467545-1204) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Uintah Basin Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2017).

NPPES Registry Identity

NPI1366973836
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRAXTON RAY DUNCANCredential: D.O.
Location Address250 W 300 NRoosevelt, UT 84066-2336
Mailing Address400 W Mineral King AveVisalia, CA 93291-6237
Phone(435) 722-4691
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2017
Enumeration DateMarch 25, 2017
Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1366973836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in UT · 11467545-1204
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
250 W 300 N, Roosevelt, UT 84066
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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

Braxton Ray Duncan D.o. 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 ID4981933124
PECOS Enrollment IDI20200715003333
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
58 services54 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
48 services45 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
37 services34 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.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84066 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

99.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.21

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.

MRS. VALARIE JEAN HAMBLIN RN, BSN, LCCE
Registered Nurse
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6150
SHAWN W HAWKINS
Physical Therapist
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6163
UBMC ANESTHESIOLOGY
Nurse Anesthetist, Certified Registered
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (801) 432-2600
KERRY ROBERT BAUM JR. MD
Surgery
250 W 300 N, UINTAH BASIN MEDICAL CENTER
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
ROYCE PORTER
Occupational Therapist
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 725-7448
MR. WESTON ROSS WEAVER RPH
Pharmacist
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6123
DR. CHRISTIAN BOEKWEG DO
Family Medicine
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
GREG NEILSEN OTR/L
Occupational Therapist
250 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6186

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 Braxton Duncan's NPI number?

The NPI number for Braxton Duncan is 1366973836. It was assigned to this individual provider in the NPPES registry on March 25, 2017.

Where is Braxton Duncan located?

Braxton Duncan practices at 250 W 300 N, Roosevelt, UT 84066. The listed phone number is (435) 722-4691.

What is Braxton Duncan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Braxton Duncan enrolled in Medicare?

Yes. Braxton 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 Braxton Duncan affiliated with any hospitals?

According to CMS data, Braxton Duncan is affiliated with Uintah Basin Medical Center.

When was this NPI record last updated?

The NPPES record for Braxton Duncan was last updated on September 20, 2022. 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.