DR. DEREK L DUNCAN DO
NPI 1487764957
Family Medicine in Lake City, IA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1351 W MAIN ST, LAKE CITY, IA 51449(712) 464-7907 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Derek L Duncan Do NPPES

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

DR. DEREK L DUNCAN DO (NPI 1487764957) is an individual family medicine provider in Lake City, Iowa, licensed in Iowa (3769) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1487764957
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DEREK L DUNCANCredential: DO
Location Address1351 W MAIN STLake City, IA 51449-1585
Mailing Address1351 W Main StLake City, IA 51449-1585 · (712) 464-7907
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 10, 2007
NPI 1487764957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IA · 3769 Licensed in KS · 05-31486
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 05-31486 (KS)
1351 W MAIN ST, Lake City, IA 51449

Other Identifiers 2

Medicaid200358810CKS
Medicare ID-Type Unspecified105325KS

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. Derek L Duncan Do 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 ID9638199938
PECOS Enrollment IDI20070912000528
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
160 services83 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
102 services86 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Stewart Memorial Community Hospital

Critical Access Hospitals · Lake City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161350
Location1301 West Main StreetLake City, IA 51449 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51449 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers71 claims115 services$5.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims12 services$0.95 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$24.45 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$4.76 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers13 claims13 services$8.82 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$22.76 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 13

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

Counselor (Mental Health)
1351 W MAIN ST
LAKE CITY, IA 51449
Surgery
1351 W MAIN ST
LAKE CITY, IA 51449
Surgery
1351 W MAIN ST
LAKE CITY, IA 51449
Clinic/Center (Rural Health)
1351 W MAIN ST
LAKE CITY, IA 51449
Podiatrist
1351 W MAIN ST
LAKE CITY, IA 51449
Nurse Practitioner
1351 W MAIN ST
LAKE CITY, IA 51449
Physician Assistant
1351 W MAIN ST
LAKE CITY, IA 51449
Nurse Practitioner (Family)
1351 W MAIN ST
LAKE CITY, IA 51449

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 Derek Duncan's NPI number?

The NPI number for Derek Duncan is 1487764957. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Derek Duncan located?

Derek Duncan practices at 1351 W Main St, Lake City, IA 51449. The listed phone number is (712) 464-7907.

What is Derek Duncan's specialty?

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

Is Derek Duncan enrolled in Medicare?

Yes. Derek 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 Derek Duncan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Derek 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 Derek Duncan affiliated with any hospitals?

According to CMS data, Derek Duncan is affiliated with Trinity Regional Medical Center and Stewart Memorial Community Hospital.

When was this NPI record last updated?

The NPPES record for Derek Duncan was last updated on August 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.