THOMAS A DUNCAN DO
NPI 1386082790
Obstetrics & Gynecology in Richmond, IN

Q: What is Thomas Duncan's NPI number?

The NPI number for Thomas Duncan is 1386082790. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Q: What is Thomas Duncan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Duncan was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 07, 2013PECOS EnrolledAccepts Medicare Assignment

1050 REID PKWY STE 220, RICHMOND, IN 47374(765) 962-9541(765) 966-5952 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2021, Nov 4, 2020, Aug 4, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Thomas A Duncan Do NPPES

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

THOMAS A DUNCAN DO (NPI 1386082790) is an individual obstetrics & gynecology provider in Richmond, Indiana, licensed in Indiana (02005155A) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386082790

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameTHOMAS A DUNCANCredential: DO

Location Address1050 REID PKWY STE 220Richmond, IN 47374-1160

Mailing Address1050 Reid Parkway, Medical Staff ServicesRichmond, IN 47374-1160 · (765) 962-9541 · Fax (765) 983-3219

Phone(765) 962-9541

Fax(765) 966-5952

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 7, 2013

Last NPPES UpdateMay 13, 20214 updates tracked since enumeration

NPPES CertifiedMay 13, 2021

✔ NPI 1386082790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IN · 02005155A✔ Licensed in MI · 5101020659

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.

1050 REID PKWY STE 220, Richmond, IN 47374

Open in Google Maps ↗

Other Identifiers 3

OtherPENDINGAnthem

MedicaidPENDINGOH

MedicaidPENDINGIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Thomas A 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 ID6709156938

PECOS Enrollment IDI20170721000341

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.

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.

33 services20 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.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Reid Health

Acute Care Hospitals · Richmond, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150048

Location1100 Reid PkwyRichmond, IN 47374 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47374 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 9

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

MADISON TAYLOR DO

Obstetrics & Gynecology