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

Q: 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.

Q: What is Timothy Duncan's specialty?

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

Q: 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.

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: October 25, 2026.

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

On this page

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

Phone(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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Timothy Duncan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bayview Physician Services, PC

16 mi

Family Medicine

3241 WESTERN BRANCH BLVD
Chesapeake, VA 23321

Reassigned Medicare billing, Virginia enrollment
570 clinicians in this Medicare group

NPI 1508813387 (757) 686-3508

Sentara Medical Group

22 mi

Family Medicine

824 N MILITARY HWY STE 100
Norfolk, VA 23502

Reassigned Medicare billing, Virginia enrollment
1,901 clinicians in this Medicare group

NPI 1265485270 (757) 252-2900

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

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

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

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.

JESSE JUNCONG XIE MD

Internal Medicine (Gastroenterology)