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MR. RONALD STEVEN DUNCAN JR. AGACNP-BC
NPI 1669218418
Nurse Practitioner - Acute Care in Winchester, VA

Active since July 02, 2024PECOS EnrolledAccepts Medicare Assignment
1840 AMHERST ST, WINCHESTER, VA 22601(540) 536-4555(540) 536-5529 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2025, Jul 2, 2024 (2 updates tracked since 2024).

About Mr. Ronald Steven Duncan Jr. Agacnp-bc NPPES

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

MR. RONALD STEVEN DUNCAN JR. AGACNP-BC (NPI 1669218418) is an individual acute care provider in Winchester, Virginia, licensed in Virginia (0024193512) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Petersburg.

NPPES Registry Identity

NPI1669218418
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. RONALD STEVEN DUNCAN JR.Credential: AGACNP-BC
Location Address1840 AMHERST STWinchester, VA 22601-2808
Mailing Address220 Campus Blvd Ste 320Winchester, VA 22601-2889 · (540) 536-5100 · Fax (540) 536-0235
Phone(540) 536-4555
Fax(540) 536-5529
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 2, 2024
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1669218418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in VA · 0024193512✔ Licensed in WV · 119909
1840 AMHERST ST, Winchester, VA 22601
Open in Google Maps ↗

Secondary Practice Location 1

Location 1117 Hospital DrPetersburg, WV 26847-9566 · Phone (304) 257-1026

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mr. Ronald Steven Duncan Jr. Agacnp-bc 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 ID8022269604
PECOS Enrollment IDI20240822000036, I20250809000430
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

5

Medicare enrollment records show Ronald Duncan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winchester Medical Center
Same address
Critical Care Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
NPI 1679711261 (540) 536-8000
West Virginia University Medical Corporation
19 mi
Family Medicine
300 S PRESTON ST
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1215785563 (304) 728-1795
Grant Memorial Hospital Inc
52 mi
Critical Access
117 HOSPITAL DR
Petersburg, WV 26847
  • Reassigned Medicare billing, West Virginia enrollment
  • 85 clinicians in this Medicare group
NPI 1013603919 (304) 257-1026
Smoky Mountain Emergency Services, Inc.
187 mi
Internal Medicine
1 PAVILION DR
Daniels, WV 25832
  • Reassigned Medicare billing, West Virginia enrollment
  • 6 clinicians in this Medicare group
NPI 1275551731 (304) 763-2888
Health Care Alliance, Inc.
188 mi
Emergency Medicine
105 S EISENHOWER DR
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 183 clinicians in this Medicare group
NPI 1730128760 (304) 256-6600

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

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491307
Location200 Memorial DriveLuray, VA 22835 · Page County
Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

Grant Memorial Hospital

Critical Access Hospitals · Petersburg, WV
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number511316
Location117 Hospital DrivePetersburg, WV 26847 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

AKHILA SURE M.D.
Surgery (Surgical Critical Care)
1840 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 536-8000
JILLIAN H CALL MD
Emergency Medicine
1840 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 536-8000
MICHAEL MAYER ROMAIN KHAFI DO
Emergency Medicine
1840 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 536-8000
RAMZIDDIN KHALMURATOV PA-C
Physician Assistant
1840 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 536-4555
MEAGHAN PETERS CSFA
Specialist/Technologist, Other (Surgical Assistant)
1840 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 536-8000
JOEL A RHODES CRNA
Nurse Anesthetist, Certified Registered
1840 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 536-8000
BEVIN MARIE SANBORN LCSW
Social Worker (Clinical)
1840 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 536-5191
T. GLEN BOUDER MD
Internal Medicine (Critical Care Medicine)
1840 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 536-8874

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 Ronald Duncan's NPI number?

The NPI number for Ronald Duncan is 1669218418. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Ronald Duncan located?

Ronald Duncan practices at 1840 Amherst St, Winchester, VA 22601. The listed phone number is (540) 536-4555.

What is Ronald Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ronald Duncan enrolled in Medicare?

Yes. Ronald 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.

Which organizations bill Medicare for Ronald Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Duncan reassigns Medicare benefits to 5 organizations: Winchester Medical Center (Winchester, VA), West Virginia University Medical Corporation (Ranson, WV), Grant Memorial Hospital Inc (Petersburg, WV), Smoky Mountain Emergency Services, Inc. (Daniels, WV) and Health Care Alliance, Inc. (Beckley, WV). 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 Ronald Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Duncan accept?

Health plans from CareSource list Ronald 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 Ronald Duncan affiliated with any hospitals?

According to CMS data, Ronald Duncan is affiliated with Winchester Medical Center, Shenandoah Memorial Hospital, Page Memorial Hospital, Inc, Hampshire Memorial Hospital and Grant Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Duncan was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.