MARCY MARIE DUNCAN M.D.
NPI 1427000223
Pediatrics in Lexington, KY

Q: What is Marcy Duncan's NPI number?

The NPI number for Marcy Duncan is 1427000223. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Marcy Duncan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Marcy Duncan was last updated on September 21, 2016. 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.

Active since May 17, 2006PECOS Enrolled

2400 GREATSTONE PT, LEXINGTON, KY 40504(859) 323-6211 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Marcy Marie Duncan M.d. NPPES

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

MARCY MARIE DUNCAN M.D. (NPI 1427000223) is an individual pediatrics provider in Lexington, Kentucky, licensed in Kentucky (41881) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427000223

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARCY MARIE DUNCANCredential: M.D.

Location Address2400 GREATSTONE PTLexington, KY 40504-3274

Mailing Address2400 Greatstone PtLexington, KY 40504-3274 · (859) 323-6211

Phone(859) 323-6211

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateSeptember 21, 2016

✔ NPI 1427000223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in KY · 41881✔ Licensed in TN · MD0000040774

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2400 GREATSTONE PT, Lexington, KY 40504

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Other Identifiers 1

Medicaid7100055710KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcy Marie Duncan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

ROBERT JAY WILDMAN PA-C

Physician Assistant (Medical)