ANDREW DUNCAN CRNA
NPI 1407391154
Nurse Anesthetist, Certified Registered in Edgewood, KY

Active since January 04, 2017PECOS EnrolledAccepts Medicare Assignment
82.05/100
CMS Quality Rating
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-2000(859) 341-7867 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrew Duncan Crna NPPES

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

ANDREW DUNCAN CRNA (NPI 1407391154) is an individual nurse anesthetist, certified registered in Edgewood, Kentucky, licensed in Kentucky (3011001) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1407391154
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameANDREW DUNCANCredential: CRNA
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing AddressPo Box 632572Cincinnati, OH 45263-2572 · (717) 263-5562 · Fax (717) 263-1566
Fax(859) 341-7867
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 4, 2017
✔ NPI 1407391154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KY · 3011001
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1 MEDICAL VILLAGE DR, Edgewood, KY 41017

Accepted 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

Andrew Duncan Crna 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 ID9830473222
PECOS Enrollment IDI20170302001888, I20220601001352
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

9

Medicare enrollment records show Andrew Duncan reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
2925 VERNON PL, STE 101
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 114 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4746 MONTGOMERY RD, SUITE 202
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 57 clinicians in this Medicare group
Anesthesiology
7500 STATE RD
Cincinnati, OH 45255
  • Reassigned Medicare billing, Ohio enrollment
  • 830 clinicians in this Medicare group
Anesthesiology
10500 MONTGOMERY RD
Montgomery, OH 45242
  • Reassigned Medicare billing, Kentucky enrollment
  • 211 clinicians in this Medicare group
Anesthesiology
200 E CHESTNUT ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 526 clinicians in this Medicare group
Anesthesiology
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky enrollment
  • 137 clinicians in this Medicare group
Clinical Nurse Specialist
4219 GATEWAY BLVD
Newburgh, IN 47630
  • Reassigned Medicare billing, Indiana enrollment
  • 717 clinicians in this Medicare group
Pediatrics
2000 N ELM ST
Henderson, KY 42420
  • Reassigned Medicare billing, Kentucky enrollment
  • 125 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Kentucky enrollment
  • 158 clinicians in this Medicare group

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 4

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
42 services42 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
36 services36 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
25 services24 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

82.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.89
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Surgery (Surgical Oncology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

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 Andrew Duncan's NPI number?

The NPI number for Andrew Duncan is 1407391154. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Andrew Duncan located?

Andrew Duncan practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 301-2000.

What is Andrew Duncan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Andrew Duncan enrolled in Medicare?

Yes. Andrew 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 Andrew Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Duncan reassigns Medicare benefits to 9 organizations: Ogi Anesthesia, LLC (Cincinnati, OH), Cgi Anesthesia Associates LLC (Cincinnati, OH), Southwest Ohio Anesthesia Consultants LLC (Cincinnati, OH), Anesthesia Group Practice, Inc (Montgomery, OH), Professional Anesthesia Services Of Kentucky PLLC (Louisville, KY) and 4 more organizations, listed in the Medicare section above. 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 Andrew Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Duncan accept?

Health plans from CareSource, Oscar Health Insurance and Paramount list Andrew 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 Andrew Duncan affiliated with any hospitals?

According to CMS data, Andrew Duncan is affiliated with St Elizabeth Edgewood, Owensboro Health Regional Hospital and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Andrew Duncan was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.