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MICHAEL D DUNCAN M.D.
NPI 1396793758
Internal Medicine - Pulmonary Disease in Indianapolis, IN

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
1801 SENATE BLVD, SUITE 230, INDIANAPOLIS, IN 46202(317) 962-5820(317) 962-3916 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2023, Jan 28, 2021 (2 updates tracked since 2021).

About Michael D Duncan M.d. NPPES

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

MICHAEL D DUNCAN M.D. (NPI 1396793758) is an individual pulmonary disease provider in Indianapolis, Indiana, licensed in Indiana (01056782A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1396793758
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL D DUNCANCredential: M.D.
Location Address1801 SENATE BLVD, SUITE 230Indianapolis, IN 46202-1252
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 962-5820
Fax(317) 962-3916
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 5, 2006
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1396793758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IN · 01056782A
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1801 SENATE BLVD, Indianapolis, IN 46202
Open in Google Maps ↗

Other Identifiers 1

Medicaid100098210IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Michael D Duncan M.d. 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 ID6608809744
PECOS Enrollment IDI20220517000112
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.

Hospital Affiliations CMS Care Compare

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
4 suppliers45 claims177 services$17.60 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
3 suppliers33 claims791 services$34.41 avg. paid by Medicare
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing E0434
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.45 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers14 claims14 services$780.17 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$4.03 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$33.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

UNIVERSITY VASCULAR SURGERY, INC
Surgery (Vascular Surgery)
1801 SENATE BLVD, MPC 2, SUITE D3500
INDIANAPOLIS, IN 46202
Marion County (317) 962-0280
EMILY BUCHMAN
Specialist/Technologist (Athletic Trainer)
1801 SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 944-9400
RYAN L KRANER RPH
Pharmacist
1801 SENATE BLVD, ROOM 105
INDIANAPOLIS, IN 46202
Marion County (317) 962-5606
OTOLARYNGOLOGY ASSOCIATES LLC
Otolaryngology
1801 SENATE BLVD, STE 548
INDIANAPOLIS, IN 46202
Marion County (317) 844-7059
JOHN R SCOTT MD
Psychiatry & Neurology (Neurology)
1801 SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 274-8800
BETHANY MARIE LAMBERT PA-C
Physician Assistant
1801 SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-3700
KATHERINE E. GORDEN RPH
Pharmacist
1801 SENATE BLVD, METHODIST PRESCRIPTION CENTER
INDIANAPOLIS, IN 46202
Marion County (317) 962-5606
MR. MARK GARRETT PA-C
Physician Assistant
1801 SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-2000

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 Michael Duncan's NPI number?

The NPI number for Michael Duncan is 1396793758. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Michael Duncan located?

Michael Duncan practices at 1801 Senate Blvd Suite 230, Indianapolis, IN 46202. The listed phone number is (317) 962-5820.

What is Michael Duncan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Duncan enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Duncan accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Michael Duncan 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 Michael Duncan affiliated with any hospitals?

According to CMS data, Michael Duncan is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Duncan was last updated on May 16, 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.