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MR. KENNETH R DUNCAN ARNP
NPI 1396970646
Nurse Practitioner - Acute Care in Bradenton, FL

Active since May 15, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2401 MANATEE AVE W, BRADENTON, FL 34205(941) 744-1336(941) 746-3846 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Kenneth R Duncan Arnp NPPES

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

MR. KENNETH R DUNCAN ARNP (NPI 1396970646) is an individual acute care provider in Bradenton, Florida, licensed in Florida (ARNP3247142) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1396970646
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. KENNETH R DUNCANCredential: ARNP
Location Address2401 MANATEE AVE WBradenton, FL 34205-4933
Mailing AddressMatrix Pulmonary Pa, 2401 Manatee Ave WBradenton, FL 34205-4933 · (941) 744-1336 · Fax (941) 746-3846
Phone(941) 744-1336
Fax(941) 746-3846
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 15, 2009
Last NPPES UpdateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
✔ NPI 1396970646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · ARNP3247142
2401 MANATEE AVE W, Bradenton, FL 34205
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Tampa General Hospital, 2 Columbia DriveTampa, FL 33601-1289 · Phone (813) 844-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth R Duncan Arnp 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 ID2668514589
PECOS Enrollment IDI20110208000525
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kenneth Duncan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Walsh Family Medicine LLC
0.5 mi
Family Medicine
1533 4TH AVE W
Bradenton, FL 34205
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1356826770 (941) 243-9613
Paragon Emergency Services LLC
65 mi
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
NPI 1912101650 (863) 293-1121
Em Alliance LLC
158 mi
Emergency Medicine
10101 FOREST HILL BLVD
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 138 clinicians in this Medicare group
NPI 1922788959 (561) 203-0611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
173 services61 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
109 services72 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services29 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
31 services27 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
30 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100035
Location206 2nd St EBradenton, FL 34208 · Manatee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34205 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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

Other Providers at the Same Location NPPES 5

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

DR. JOHN T. PETERS D.O.
Internal Medicine (Pulmonary Disease)
2401 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 744-1336
DR. WILLIAM HAMAN EVANS JR. D.O.
Internal Medicine (Pulmonary Disease)
2401 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 744-1336
MR. CHARLES KASTEN APRN
Nurse Practitioner (Adult Health)
2401 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 744-1336
MISS MARYJANE LUCILLE LIEBLING DO
Internal Medicine (Critical Care Medicine)
2401 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 744-1336
MATRIX PULMONARY, P.A.
Internal Medicine (Pulmonary Disease)
2401 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 744-1336

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 Kenneth Duncan's NPI number?

The NPI number for Kenneth Duncan is 1396970646. It was assigned to this individual provider in the NPPES registry on May 15, 2009.

Where is Kenneth Duncan located?

Kenneth Duncan practices at 2401 Manatee Ave W, Bradenton, FL 34205. The listed phone number is (941) 744-1336.

What is Kenneth Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kenneth Duncan enrolled in Medicare?

Yes. Kenneth 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.

Which organizations bill Medicare for Kenneth Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Duncan reassigns Medicare benefits to 3 organizations: Walsh Family Medicine LLC (Bradenton, FL), Paragon Emergency Services LLC (Winter Haven, FL) and Em Alliance LLC (Wellington, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Duncan accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Kenneth 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 Kenneth Duncan affiliated with any hospitals?

According to CMS data, Kenneth Duncan is affiliated with Manatee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Duncan was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.