DR. CASEY ELLIS DUNCAN MD
NPI 1487720942
Radiology - Radiation Oncology in Effingham, IL

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
905 MEDICAL PARK DR, DEPARTMENT OF RADIATION ONCOLOGY, EFFINGHAM, IL 62401(217) 342-2066(217) 342-2074 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Casey Ellis Duncan Md NPPES

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

DR. CASEY ELLIS DUNCAN MD (NPI 1487720942) is an individual radiation oncology provider in Effingham, Illinois, licensed in Illinois (036137340) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1997).

NPPES Registry Identity

NPI1487720942
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. CASEY ELLIS DUNCANCredential: MD
Location Address905 MEDICAL PARK DR, DEPARTMENT OF RADIATION ONCOLOGYEffingham, IL 62401-2190
Mailing Address905 Medical Park Dr, Department Of Radiation OncologyEffingham, IL 62401-2190 · (217) 342-2066 · Fax (217) 342-2074
Fax(217) 342-2074
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1997
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 12, 2016
NPI 1487720942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in IL · 036137340
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
905 MEDICAL PARK DR, Effingham, IL 62401

Other Identifiers 5

Medicaid036137340IL
Medicare PINF400220766
Other295078Health Alliance
OtherP01615119Medicare Rr Palmetto Gba
Other1487720942Npi

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

Dr. Casey Ellis 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 ID8820284441
PECOS Enrollment IDI20150618002074
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.

Areas of Expertise CMS Part B claims 41

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
7,800 services54 patients
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015
Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
989 services46 patients
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev G6011
This is a radiation therapy procedure treating 3+ distinct areas. Custom blocks shield healthy tissue, while tangential ports and wedges direct radiation. Rotational beams and compensators adjust the dose. Electron beam is used, with energy up to 5 million electron volts (MeV).
728 services54 patients
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.
390 services220 patients
Continuing radiation therapy consultation per week 77336
Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.
380 services123 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
347 services92 patients

Hospital Affiliations CMS Care Compare 4

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141354
Location200 S Cedar StShelbyville, IL 62565 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
905 MEDICAL PARK DR
EFFINGHAM, IL 62401
Internal Medicine (Hematology & Oncology)
905 MEDICAL PARK DR
EFFINGHAM, IL 62401
Internal Medicine (Medical Oncology)
905 MEDICAL PARK DR
EFFINGHAM, IL 62401
Internal Medicine (Hematology & Oncology)
905 MEDICAL PARK DR
EFFINGHAM, IL 62401

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 Casey Duncan's NPI number?

The NPI number for Casey Duncan is 1487720942. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Casey Duncan located?

Casey Duncan practices at 905 Medical Park Dr Department Of Radiation Oncology, Effingham, IL 62401. The listed phone number is (217) 342-2066.

What is Casey Duncan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Casey Duncan enrolled in Medicare?

Yes. Casey 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 Casey Duncan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Casey 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.

Is Casey Duncan affiliated with any hospitals?

According to CMS data, Casey Duncan is affiliated with St Anthonys Memorial Hospital, Fayette County Hospital, Clay County Hospital and Hshs Good Shepherd Hospital Inc.

When was this NPI record last updated?

The NPPES record for Casey Duncan was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.