MS. MICHELLE E DUNCAN MD
NPI 1467499400
Obstetrics & Gynecology in Philadelphia, PA
About Ms. Michelle E Duncan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MICHELLE E DUNCAN MD (NPI 1467499400) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD459552) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Ms. Michelle E 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.
Medicare Billing Reassignments
4Medicare enrollment records show Michelle Duncan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19140
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- 1,188 clinicians in this Medicare group
Del Valle, TX 78617
- Reassigned Medicare billing, Texas enrollment
- 294 clinicians in this Medicare group
Austin, TX 78712
- Reassigned Medicare billing, Texas enrollment
- 208 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
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 Michelle Duncan's NPI number?
The NPI number for Michelle Duncan is 1467499400. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Michelle Duncan located?
Michelle Duncan practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3008.
What is Michelle Duncan's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Michelle Duncan enrolled in Medicare?
Yes. Michelle 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 Michelle Duncan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Duncan reassigns Medicare benefits to 4 organizations: Temple Faculty Practice Plan Inc (Philadelphia, PA), Seton Family Of Doctors (Austin, TX), The University Of Texas At Austin (Del Valle, TX) and University Of Texas At Austin Dell Medical School (Austin, TX). 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 Michelle Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Duncan accept?
Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Michelle 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 Michelle Duncan was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ms. Michelle E Duncan, MD · NPI 1467499400
Obstetrics & Gynecology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1467499400 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD459552 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 N BROAD ST, Philadelphia, PA 19140-5103
- **Phone:** (215) 707-3008 · **Fax:** (215) 707-1387
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Temple Faculty Practice Plan Inc (NPI 1235611179, Philadelphia, PA); Seton Family Of Doctors (NPI 1225644065, Austin, TX); The University Of Texas At Austin (NPI 1245612225, Del Valle, TX); University Of Texas At Austin Dell Medical School (NPI 1073066239, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** January 9, 2026
- **Other identifiers:** Medicaid 4524625 (MI); Other 34414500 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1467499400) · Data from the CMS NPPES public registry.