DR. DAVID AREND DUNCAN M.D., F.A.A.F.P.
NPI 1427041656
Family Medicine in Blacksburg, VA

Q: What is David Duncan's NPI number?

The NPI number for David Duncan is 1427041656. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is David Duncan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for David Duncan was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 August 23, 2005PECOS Enrolled

1420 N MAIN ST, BLACKSBURG, VA 24060(540) 951-8380 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2023, Jun 9, 2021, Sep 13, 2018 (3 updates tracked since 2018).

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About Dr. David Arend Duncan M.d., F.a.a.f.p. NPPES

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

DR. DAVID AREND DUNCAN M.D., F.A.A.F.P. (NPI 1427041656) is an individual family medicine provider in Blacksburg, Virginia, licensed in Virginia (0101038474) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1427041656

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DAVID AREND DUNCANCredential: M.D., F.A.A.F.P.

Location Address1420 N MAIN STBlacksburg, VA 24060-2522

Mailing Address2716 Creek EdgePowhatan, VA 23139-5310 · (804) 240-6640

Phone(540) 951-8380

Sole ProprietorNo

Enumeration DateAugust 23, 2005

Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1427041656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in VA · 0101038474✔ Licensed in WI · 101996

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1420 N MAIN ST, Blacksburg, VA 24060

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Secondary Practice Locations 4

Location 12615 Anderson Hwy, Suite APowhatan, VA 23139-7400 · Phone (804) 794-1555 · Fax (804) 403-0334

Location 212101 S Chalkley RdChester, VA 23831-3755 · Phone (804) 796-3636

Location 317385 Lankford HwyParksley, VA 23421-3882 · Phone (757) 665-5996

Location 41700 Tuttle StBaraboo, WI 53913-3319 · Phone (608) 355-3800 · Fax (608) 355-7001

Other Identifiers 11

Other48219VA · Sentara

Other57741VA · Southern Health/coventry

Other700863VA · Aetna Us Healthcare

Other0100150VA · United Healthcare

Medicaid9669VA

Other101644VA · Cigna

Other50630VA · Anthem

Other080015034VA · Medicare - Railroad

Medicaid1427041656WI

Medicaid5695872VA

Other821005VA · Mdipa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Arend Duncan M.d., F.a.a.f.p. 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.

Medicare Billing Reassignments

Medicare enrollment records show David Duncan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roanoke Valley Healthcare Partners, LLC

25 mi

Multi-Specialty

602 BRANDON AVE SW, SUITE 222
Roanoke, VA 24015

Reassigned Medicare billing, District of Columbia and Virginia enrollments
20 clinicians in this Medicare group

NPI 1619274446 (540) 774-0000

Carilion Healthcare Corporation

26 mi

Multi-Specialty

213 S JEFFERSON ST STE 1006
Roanoke, VA 24011

Reassigned Medicare billing, Virginia enrollment
956 clinicians in this Medicare group

NPI 1447206370 (540) 224-5452

American Greatest Care LLC

198 mi

Urgent Care

14087 RICHMOND HIGHWAY
Woodbridge, VA 22191

Reassigned Medicare billing, District of Columbia and Virginia enrollments
25 clinicians in this Medicare group

NPI 1790478782 (571) 300-8000

Dean Health Systems, Inc

621 mi

Allergy & Immunology

1211 FISH HATCHERY RD
Madison, WI 53715

Reassigned Medicare billing, Wisconsin enrollment
1,377 clinicians in this Medicare group

NPI 1053358846 (608) 252-8000

Lawton Indian Hospital

1,022 mi

General Acute Care Hospital

1515 NE LAWRIE TATUM RD
Lawton, OK 73507

Reassigned Medicare billing, Texas enrollment
347 clinicians in this Medicare group

NPI 1760489223 (580) 354-5150

Carnegie Indian Health Center

1,026 mi

Public Health, Federal

212 E. 4TH STREET
Carnegie, OK 73015

Reassigned Medicare billing, Texas enrollment
59 clinicians in this Medicare group

NPI 1457459158 (580) 654-1100

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 2

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 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.

91 services70 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24060 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

Patients 1: 39% · 2,696 patients

39%2,696 patients2/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

86%122 patients4/55-star benchmark: 96%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

93%749 patients4/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

Patients 1: 2% · 749 patients

2%749 patients1/55-star benchmark: 100%

Send a Summary of Care

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…

86%122 patients4/55-star benchmark: 99%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier11 claims66 services$1.59 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 6

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

MRS. EMILY MARGARET PIERSON PHYSICIAN ASSISTANT

Physician Assistant