THEODORE A DUNCAN C.R.N.A.
NPI 1689848681
Nurse Anesthetist, Certified Registered in Camden, NJ

Q: What is Theodore Duncan's NPI number?

The NPI number for Theodore Duncan is 1689848681. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Q: What is Theodore Duncan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Duncan was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since April 22, 2008PECOS EnrolledAccepts Medicare Assignment

51.24/100

CMS Quality Rating

1600 HADDON AVE FL 3, CAMDEN, NJ 08103(856) 988-6260(856) 988-6270 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Theodore A Duncan C.r.n.a. NPPES

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

THEODORE A DUNCAN C.R.N.A. (NPI 1689848681) is an individual nurse anesthetist, certified registered in Camden, New Jersey, licensed in New Jersey (26NJ00231400) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Virtua Our Lady Of Lourdes Hospital, and maintains a secondary practice location in Camden.

NPPES Registry Identity

NPI1689848681

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTHEODORE A DUNCANCredential: C.R.N.A.

Location Address1600 HADDON AVE FL 3Camden, NJ 08103-3101

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 988-6260 · Fax (856) 988-6270

Phone(856) 988-6260

Fax(856) 988-6270

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateApril 22, 2008

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1689848681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in NJ · 26NJ00231400✔ Licensed in NJ · 26NO12190600

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1600 HADDON AVE FL 3, Camden, NJ 08103

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Secondary Practice Location 1

Location 11600 Haddon AveCamden, NJ 08103-3101 · Phone (856) 757-3836

Other Identifiers 1

Other222041639NJ · Tax Id

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

Theodore A Duncan C.r.n.a. 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 ID5890874127

PECOS Enrollment IDI20080512000257

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 Theodore Duncan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-Atlantic Anesthesia Associates PA

Same address

Anesthesiology

1600 HADDON AVE
Camden, NJ 08103

Reassigned Medicare billing, New Jersey enrollment
89 clinicians in this Medicare group

NPI 1366486508 (856) 757-3836

Virtua Medical Group, PA

2.4 mi

Urgent Care

602 W CUTHBERT BLVD UNIT 26 STE A
Haddon Township, NJ 08108

Reassigned Medicare billing, New Jersey enrollment
2,074 clinicians in this Medicare group

NPI 1932659778 (856) 946-5180

Professional Service Fund Of Deborah- Anesthesia

27 mi

Specialist

200 TRENTON RD
Browns Mills, NJ 08015

Reassigned Medicare billing, New Jersey enrollment
58 clinicians in this Medicare group

NPI 1902852015 (609) 893-1200

Shrewsbury Ambulatory Anesthesia LLC

61 mi

Anesthesiology

655 SHREWSBURY AVENUE
Shrewsbury, NJ 07702

Reassigned Medicare billing, New Jersey enrollment
396 clinicians in this Medicare group

NPI 1356691885 (732) 450-6000

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

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ

1/5 CMS rating

OwnershipGovernment - State

CMS Certification Number310029

Location1600 Haddon AvenueCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

51.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

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.

MONIQUE LORRAINE ROBERTS SALAHUB

Anesthesiology