DR. DUNCAN MARK BURKHOLDER MD
NPI 1467430405
Obstetrics & Gynecology - Gynecology in Lubbock, TX

Q: What is Duncan Burkholder's NPI number?

The NPI number for Duncan Burkholder is 1467430405. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Q: What is Duncan Burkholder's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Duncan Burkholder was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 09, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D0507672 · Microscopy

4515 MARSHA SHARP FWY, LUBBOCK, TX 79407(806) 744-7223(806) 740-3325 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2021, Jan 8, 2020 (2 updates tracked since 2020).

On this page

About Dr. Duncan Mark Burkholder Md NPPES

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

DR. DUNCAN MARK BURKHOLDER MD (NPI 1467430405) is an individual gynecology provider in Lubbock, Texas, licensed in Texas (G4879) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through November 30, 2026, and is affiliated with Grace Surgical Hospital.

NPPES Registry Identity

NPI1467430405

Entity TypeIndividualMale

Primary Taxonomy207VG0400X

Provider Legal NameDR. DUNCAN MARK BURKHOLDERCredential: MD

Location Address4515 MARSHA SHARP FWYLubbock, TX 79407-2520

Mailing Address4515 Marsha Sharp FwyLubbock, TX 79407-2520 · (806) 744-7223 · Fax (806) 740-3325

Phone(806) 744-7223

Fax(806) 740-3325

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1983

Enumeration DateJanuary 9, 2006

Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2024

✔ NPI 1467430405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in TX · G4879

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License G4879 (TX)

4515 MARSHA SHARP FWY, Lubbock, TX 79407

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Other Identifiers 5

Other8V8691TX · Bcbs

Medicaid128007508TX

Other100122106TX · Team Choice- Core

Other4361195TX · Aetna

Other100122106TX · Firstcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, UnitedHealthcare.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. Duncan Mark Burkholder 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 ID3476516428

PECOS Enrollment IDI20050718000785

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0507672

Duncan M Burkholder, MD · Lubbock, TX

Active · expires Nov 30, 2026

CLIA Number45D0507672

Laboratory TypePhysician Office

Certificate Effective DateDecember 1, 2024

Certificate Expiration DateNovember 30, 2026

Laboratory DirectorDuncan M. Burkholder MD

Laboratory Phone(806) 744-7223

Laboratory LocationDuncan M Burkholder, MD4515 Marsha Sharp Freeway, Lubbock, TX 79407

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 11

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.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

105 services31 patients

Biofeedback training for bowel or bladder control, initial 15 minutes 90912

Biofeedback training helps manage bowel or bladder control issues. It involves using sensors to monitor specific body functions. The first 15-minute session allows you to understand and control these functions to improve health and performance.

79 services19 patients

Biofeedback training for bowel or bladder control, each additional 15 minutes 90913

Biofeedback training aids in enhancing control over bowel or bladder functions. It involves monitoring bodily processes like muscle tension and heart rate, and teaching you how to alter these functions through relaxation or visualization techniques. Each session lasts an additional 15 minutes.

78 services18 patients

Assessment of muscle signal of pelvic nerves 51792

This procedure evaluates the communication between your nerves and muscles in the lower body region. It involves monitoring the electrical signals in your muscles to ensure they're responding correctly to nerve signals. It's useful for identifying potential nerve or muscle issues.

76 services17 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

50 services50 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

48 services48 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.

36 services31 patients

Pessary, reusable, non rubber, any type A4562

A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.

23 services22 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

22 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Grace Surgical Hospital

Acute Care Hospitals · Lubbock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450162

Location2412 50th StLubbock, TX 79412 · Lubbock County

Emergency services

Covenant Childrens Hospital

Childrens · Lubbock, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453306

Location4015 22nd PlaceLubbock, TX 79410 · Lubbock County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79407 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 20

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

SIXTUS ATABONG PA

Physician Assistant (Surgical)