DR. TIMOTHY JAMES DUNCAN M.D.
NPI 1669466504
Internal Medicine - Gastroenterology in Newport News, VA

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
1031 LOFTIS BLVD STE 201, NEWPORT NEWS, VA 23606(757) 736-9850 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2023, Dec 8, 2020, Oct 22, 2019 (3 updates tracked since 2019).

About Dr. Timothy James Duncan M.d. NPPES

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

DR. TIMOTHY JAMES DUNCAN M.D. (NPI 1669466504) is an individual gastroenterology provider in Newport News, Virginia, licensed in Virginia (0101251786) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Obici Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669466504
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. TIMOTHY JAMES DUNCANCredential: M.D.
Location Address1031 LOFTIS BLVD STE 201Newport News, VA 23606-2981
Mailing Address1031 Loftis Blvd Ste 201Newport News, VA 23606-2981 · (757) 736-9850
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2001
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
NPI 1669466504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in VA · 0101251786
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1031 LOFTIS BLVD STE 201, Newport News, VA 23606

Secondary Practice Locations 3

Location 1501 Medical DriveHampton, VA 23666-6080 · Phone (757) 826-7785 · Fax (757) 826-9028
Location 2300 Medical Pkwy Ste 106Chesapeake, VA 23320-4985 · Phone (757) 606-1720 · Fax (757) 606-1721
Location 32000 Meade Pkwy Ste 400Suffolk, VA 23434-4259 · Phone (757) 606-1720 · Fax (757) 606-1721

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. Timothy James Duncan M.d. 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 ID2961479001
PECOS Enrollment IDI20121127000271
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 6

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.

Injection, propofol, 10 mg J2704
Propofol is a medication given via injection to help you relax or sleep during surgery or other medical procedures. The 10 mg dosage refers to the amount of medication you'll receive. It's administered by a healthcare professional and monitored closely for safety.
1,594 services53 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
24 services24 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
24 services24 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
20 services19 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.
17 services15 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
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 7

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

Internal Medicine (Gastroenterology)
1031 LOFTIS BLVD STE 201
NEWPORT NEWS, VA 23606
Nurse Practitioner (Adult Health)
1031 LOFTIS BLVD STE 201
NEWPORT NEWS, VA 23606
Nurse Practitioner (Acute Care)
1031 LOFTIS BLVD STE 201
NEWPORT NEWS, VA 23606
Internal Medicine (Gastroenterology)
1031 LOFTIS BLVD STE 201
NEWPORT NEWS, VA 23606
Internal Medicine (Gastroenterology)
1031 LOFTIS BLVD STE 201
NEWPORT NEWS, VA 23606
Internal Medicine (Gastroenterology)
1031 LOFTIS BLVD STE 201
NEWPORT NEWS, VA 23606
Nurse Practitioner (Adult Health)
1031 LOFTIS BLVD STE 201
NEWPORT NEWS, VA 23606

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 Timothy Duncan's NPI number?

The NPI number for Timothy Duncan is 1669466504. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Timothy Duncan located?

Timothy Duncan practices at 1031 Loftis Blvd Ste 201, Newport News, VA 23606. The listed phone number is (757) 736-9850.

What is Timothy Duncan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Timothy Duncan enrolled in Medicare?

Yes. Timothy 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.

Is Timothy Duncan affiliated with any hospitals?

According to CMS data, Timothy Duncan is affiliated with Sentara Obici Hospital and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Duncan was last updated on July 19, 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.