DR. MARK DUNCAN MD
NPI 1598713919
Family Medicine in Freeland, WA

Q: What is Mark Duncan's NPI number?

The NPI number for Mark Duncan is 1598713919. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Mark Duncan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Duncan was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 05, 2006PECOS EnrolledAccepts Medicare Assignment

88.16/100

CMS Quality Rating

5577 VANBARR PL, FREELAND, WA 98249(360) 331-3343 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2023, Mar 26, 2023 (2 updates tracked since 2023).

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About Dr. Mark Duncan Md NPPES

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

DR. MARK DUNCAN MD (NPI 1598713919) is an individual family medicine provider in Freeland, Washington, licensed in Washington (60305379) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1995).

NPPES Registry Identity

NPI1598713919

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK DUNCANCredential: MD

Location Address5577 VANBARR PLFreeland, WA 98249-9555

Mailing AddressPo Box 935Freeland, WA 98249-0935 · (360) 331-3343 · Fax (360) 331-3373

Phone(360) 331-3343

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1995

Enumeration DateMay 5, 2006

Last NPPES UpdateApril 25, 20232 updates tracked since enumeration

NPPES CertifiedApril 25, 2023

✔ NPI 1598713919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WA · 60305379✔ Licensed in GA · 045063

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.

5577 VANBARR PL, Freeland, WA 98249

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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. Mark 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 ID7719123561

PECOS Enrollment IDI20130423000330

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98249 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

88.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.02

Improvement Activities

Cost

81.86

Referred Medical Equipment & Supplies CMS DME claims 5

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

5 suppliers22 claims78 services$5.64 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier48 claims48 services$780.46 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers23 claims25 services$193.15 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 6

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

REBECCA ALBRIGHT ARNP

Nurse Practitioner (Family)