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

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

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: July 19, 2026.

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

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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

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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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers68 claims68 services$73.95 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$31.10 avg. paid by Medicare

Injection, epoprostenol, 0.5 mg J1325

Treatment-Injections and Infusions (nononcologic) · category RI026N

1 supplier13 claims2,340 services$12.73 avg. paid by Medicare

Injection, treprostinil, 1 mg J3285

Treatment-Injections and Infusions (nononcologic) · category RI026N

3 suppliers31 claims6,500 services$45.06 avg. paid by Medicare

Azathioprine, oral, 50 mg J7500

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers38 claims1,800 services$3.95 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers111 claims11,373 services$0.31 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers142 claims24,060 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers83 claims16,100 services$0.19 avg. paid by Medicare

Sirolimus, oral, 1 mg J7520

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers48 claims1,590 services$2.67 avg. paid by Medicare

Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) K0455

DME-Other DME · category DE000N

3 suppliers43 claims43 services$249.18 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

9 suppliers123 claims123 services$17.04 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

11 suppliers300 claims303 services$11.77 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.

DR. MARCUS BRIAN STONE PH.D., LAT, ATC

Specialist/Technologist (Athletic Trainer)

1801 SENATE BLVD, SUITE 200
INDIANAPOLIS, IN 46202

Marion County (317) 917-4117

JENNIFER D BIDDLE CST/CFA