MARK O DUNCAN DO
NPI 1538155122
Neurological Surgery in Lawton, OK

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
110 NW 31ST ST FL 2, LAWTON, OK 73505(580) 248-5255(580) 248-2036 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark O Duncan Do NPPES

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

MARK O DUNCAN DO (NPI 1538155122) is an individual neurological surgery provider in Lawton, Oklahoma, licensed in Oklahoma (3848) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1994).

NPPES Registry Identity

NPI1538155122
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMARK O DUNCANCredential: DO
Location Address110 NW 31ST ST FL 2Lawton, OK 73505-6100
Mailing AddressPo Box 785Lawton, OK 73502 · (580) 357-9984 · Fax (580) 357-3277
Fax(580) 248-2036
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1994
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJuly 10, 2013
NPI 1538155122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in OK · 3848
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
110 NW 31ST ST FL 2, Lawton, OK 73505

Other Identifiers 5

Medicaid100114100AOK
Other175194701OK · Dol
Other7358213OK · Aetna
Medicare UPINH18286
Other140007550Railroad Medicare

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

Mark O 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 ID4880737683
PECOS Enrollment IDI20100202000453
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.

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.
114 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 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.
25 services25 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
18 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370022
Location1200 East Pecan StAltus, OK 73521 · Jackson County
Emergency services Birthing friendly

Duncan Regional Hospital, Inc

Acute Care Hospitals · Duncan, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370023
Location2621 Whisenant DrDuncan, OK 73533 · Stephens County
Emergency services Birthing friendly

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Carnegie Tri-County Municipal Hospital

Critical Access Hospitals · Carnegie, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371334
Location102 North BroadwayCarnegie, OK 73015 · Caddo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
2 suppliers14 claims14 services$798.75 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 7

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

Podiatrist (Foot & Ankle Surgery)
110 NW 31ST ST FL 2
LAWTON, OK 73505
Orthopaedic Surgery
110 NW 31ST ST FL 2
LAWTON, OK 73505
Orthopaedic Surgery (Sports Medicine)
110 NW 31ST ST FL 2
LAWTON, OK 73505
Physician Assistant
110 NW 31ST ST FL 2
LAWTON, OK 73505
Specialist/Technologist, Other (Surgical Assistant)
110 NW 31ST ST FL 2
LAWTON, OK 73505
Clinic/Center
110 NW 31ST ST FL 2
LAWTON, OK 73505
Specialist/Technologist, Other (Surgical Assistant)
110 NW 31ST ST FL 2
LAWTON, OK 73505

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 Mark Duncan's NPI number?

The NPI number for Mark Duncan is 1538155122. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Mark Duncan located?

Mark Duncan practices at 110 NW 31st St Fl 2, Lawton, OK 73505. The listed phone number is (580) 248-5255.

What is Mark Duncan's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Mark Duncan enrolled in Medicare?

Yes. Mark 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 Mark Duncan accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Mark 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 Mark Duncan affiliated with any hospitals?

According to CMS data, Mark Duncan is affiliated with Jackson County Memorial Hospital Authority, Duncan Regional Hospital, Inc, Comanche County Memorial Hospital and Carnegie Tri-County Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Mark Duncan was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.