DUNCAN WILCOX MD
NPI 1649238593
Urology - Pediatric Urology in Aurora, CO

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
13123 E 16TH AVE, AURORA, CO 80045(720) 777-1234 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Duncan Wilcox Md NPPES

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

DUNCAN WILCOX MD (NPI 1649238593) is an individual pediatric urology provider in Aurora, Colorado, licensed in Colorado (47115) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1649238593
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDUNCAN WILCOXCredential: MD
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing AddressPo Box 876Aurora, CO 80040-0876 · (303) 493-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 2, 2006
Last NPPES UpdateJanuary 4, 2011
✔ NPI 1649238593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in CO · 47115
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
13123 E 16TH AVE, Aurora, CO 80045

Other Identifiers 2

Medicaid93139551CO
Medicare PINCO301717CO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Duncan Wilcox 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 ID2567426786
PECOS Enrollment IDI20081217000175
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Duncan Wilcox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
13123 E 16TH AVE
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
Family Medicine
201 YELLOWSTONE AVE
Cody, WY 82414
  • Reassigned Medicare billing, Montana and Colorado enrollments
  • Also billed through NPI 1376598714 (Colorado)
  • 1,264 clinicians in this Medicare group
Critical Access
710 N 11TH STREET
Columbus, MT 59019
  • Reassigned Medicare billing, Montana enrollment
  • 86 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers18 claims26 services$9.30 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 20

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

Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045

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 Duncan Wilcox's NPI number?

The NPI number for Duncan Wilcox is 1649238593. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Duncan Wilcox located?

Duncan Wilcox practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.

What is Duncan Wilcox's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Duncan Wilcox enrolled in Medicare?

Yes. Duncan Wilcox 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.

Which organizations bill Medicare for Duncan Wilcox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Duncan Wilcox reassigns Medicare benefits to 3 organizations: University Physicians Incorporated (Aurora, CO), Billings Clinic (Cody, WY) and Stillwater Hospital Association, Inc. (Columbus, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Duncan Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Duncan Wilcox accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans, Providence Health Plan and Select Health list Duncan Wilcox 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 Duncan Wilcox was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.