DR. KATHERINE DUNCAN M.D.
NPI 1407113566
Ophthalmology in Towson, MD

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment
8625 PLEASANT PLAINS RD, TOWSON, MD 21286(410) 828-5558 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 12, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Katherine Duncan M.d. NPPES

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

DR. KATHERINE DUNCAN M.D. (NPI 1407113566) is an individual ophthalmology provider in Towson, Maryland, licensed in Maryland (D83693) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407113566
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. KATHERINE DUNCANCredential: M.D.
Location Address8625 PLEASANT PLAINS RDTowson, MD 21286-2321
Mailing Address8625 Pleasant Plains RdTowson, MD 21286-2321 · (410) 828-5558
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2012
Enumeration DateApril 13, 2012
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1407113566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MD · D83693 Licensed in PA · MD456923
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

8625 PLEASANT PLAINS RD, Towson, MD 21286

Secondary Practice Locations 2

Location 1203 Lothrop St, 7th Floor, EEINSPittsburgh, PA 15213-2548 · Phone (412) 647-2214 · Fax (412) 647-0977
Location 26569 N Charles St Ste 505Baltimore, MD 21204-5809 · Phone (443) 849-3167

Accepted 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

Dr. Katherine 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 ID8022267871
PECOS Enrollment IDI20170821001723
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 15

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
764 services723 patients
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.
325 services239 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.
255 services232 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
209 services197 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
178 services109 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
138 services135 patients

Hospital Affiliations CMS Care Compare

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

Greater Baltimore Medical Center

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210044
Location6701 North Charles StreetBaltimore, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21286 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 8

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

Eyewear Supplier
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Optometrist
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Optometrist
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Ophthalmology
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Optometrist
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Ophthalmology
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Optometrist
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Ophthalmology
8625 PLEASANT PLAINS RD
TOWSON, MD 21286

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 Katherine Duncan's NPI number?

The NPI number for Katherine Duncan is 1407113566. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Katherine Duncan located?

Katherine Duncan practices at 8625 Pleasant Plains Rd, Towson, MD 21286. The listed phone number is (410) 828-5558.

What is Katherine Duncan's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Katherine Duncan enrolled in Medicare?

Yes. Katherine 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 Katherine Duncan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Katherine 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 Katherine Duncan affiliated with any hospitals?

According to CMS data, Katherine Duncan is affiliated with Greater Baltimore Medical Center.

When was this NPI record last updated?

The NPPES record for Katherine Duncan was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.