KENNETH H DUNCAN MD
NPI 1437132842
Orthopaedic Surgery - Hand Surgery in Fort Collins, CO

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
73.87/100
CMS Quality Rating
2500 E PROSPECT RD, FORT COLLINS, CO 80525(970) 493-0112 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kenneth H Duncan Md NPPES

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

KENNETH H DUNCAN MD (NPI 1437132842) is an individual hand surgery provider in Fort Collins, Colorado, licensed in Colorado (DR.0028624) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1982).

NPPES Registry Identity

NPI1437132842
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameKENNETH H DUNCANCredential: MD
Location Address2500 E PROSPECT RDFort Collins, CO 80525-9718
Mailing Address2500 E Prospect RdFort Collins, CO 80525-9718 · (970) 493-0112
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1982
Enumeration DateNovember 21, 2005
Last NPPES UpdateDecember 16, 2019
NPI 1437132842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in CO · DR.0028624
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
2500 E PROSPECT RD, Fort Collins, CO 80525

Other Identifiers 2

Medicaid102627500WY
Medicaid01286244CO

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

Kenneth H Duncan Md 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 ID1951484914
PECOS Enrollment IDI20100224000710
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 80525 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

73.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.46
Promoting Interoperability64
Improvement Activities40
Cost74.44

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.

Specialist/Technologist (Athletic Trainer)
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Specialist/Technologist (Athletic Trainer)
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Physician Assistant
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Orthopaedic Surgery (Sports Medicine)
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Orthopaedic Surgery (Foot and Ankle Surgery)
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Clinical Neuropsychologist
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Specialist/Technologist (Athletic Trainer)
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Physical Therapist
2500 E PROSPECT RD
FORT COLLINS, CO 80525

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 1437132842. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Kenneth Duncan located?

Kenneth Duncan practices at 2500 E Prospect Rd, Fort Collins, CO 80525. The listed phone number is (970) 493-0112.

What is Kenneth Duncan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

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.

What insurance does Kenneth Duncan accept?

Health plans from Medica 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.

When was this NPI record last updated?

The NPPES record for Kenneth Duncan was last updated on December 16, 2019. 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.