DR. KATHLEEN S RATHBUN-DUNCAN D O
NPI 1639364078
Family Medicine in Greenacres, FL

Q: What is Kathleen Rathbun-duncan's NPI number?

The NPI number for Kathleen Rathbun-duncan is 1639364078. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Q: What is Kathleen Rathbun-duncan's specialty?

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

Active since September 10, 2007PECOS EnrolledAccepts Medicare Assignment

4889 LAKE WORTH RD, SUITE 109, GREENACRES, FL 33463(561) 649-7532(561) 649-7535 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kathleen S Rathbun-duncan D O NPPES

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

DR. KATHLEEN S RATHBUN-DUNCAN D O (NPI 1639364078) is an individual family medicine provider in Greenacres, Florida, licensed in Florida (OS7267) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1639364078

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KATHLEEN S RATHBUN-DUNCANCredential: D O

Location Address4889 LAKE WORTH RD, SUITE 109Greenacres, FL 33463-3499

Mailing Address4889 Lake Worth Rd, Ste 109Greenacres, FL 33463-3480 · (561) 790-4445 · Fax (561) 790-4237

Phone(561) 649-7532

Fax(561) 649-7535

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 10, 2007

Last NPPES UpdateOctober 19, 2016

✔ NPI 1639364078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS7267

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.

4889 LAKE WORTH RD, Greenacres, FL 33463

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Other Identifiers 4

Medicare UPING75649FL

Medicaid000738901FL

Medicaid000738900FL

Medicare PIN57418FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.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. Kathleen S Rathbun-duncan D O 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 ID2769572114

PECOS Enrollment IDI20071221000303

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 10

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.

575 services143 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.

120 services66 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

109 services109 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

70 services56 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

39 services26 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

28 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33463 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 7

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers15 claims15 services$49.44 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers13 claims78 services$1.78 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier17 claims17 services$23.85 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims990 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier11 claims600 services$0.81 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

1 supplier19 claims19 services$185.01 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 4

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

KESLEY CRAWFORD ED.D, CCJAP

Counselor (Addiction (Substance Use Disorder))

4889 LAKE WORTH RD, SUITE #109
GREENACRES, FL 33463

Palm Beach County (561) 702-0528

MRS. JODIE DE LA CERDA APRN

Nurse Practitioner (Primary Care)

4889 LAKE WORTH RD
GREENACRES, FL 33463

Palm Beach County (561) 649-7532

CLEAR STEPS RECOVERY, LLC.

Substance Abuse Rehabilitation Facility

4889 LAKE WORTH RD
GREENACRES, FL 33463

Palm Beach County (561) 200-7848

READINESS GROUP SOLUTIONS, LLC

Counselor (Addiction (Substance Use Disorder))

4889 LAKE WORTH RD, SUITE #109
GREENACRES, FL 33463

Palm Beach County (561) 702-0528

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 Kathleen Rathbun-duncan's NPI number?

The NPI number for Kathleen Rathbun-duncan is 1639364078. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is Kathleen Rathbun-duncan located?

Kathleen Rathbun-duncan practices at 4889 Lake Worth Rd Suite 109, Greenacres, FL 33463. The listed phone number is (561) 649-7532.

What is Kathleen Rathbun-duncan's specialty?

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

Is Kathleen Rathbun-duncan enrolled in Medicare?

Yes. Kathleen Rathbun-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 Kathleen Rathbun-duncan accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Kathleen Rathbun-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 Kathleen Rathbun-duncan was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.