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DR. CORY DUNCAN MD
NPI 1699719864
Emergency Medicine in Gainesville, GA

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
535 JESSE JEWELL PKWY SE, SUITE A, GAINESVILLE, GA 30501(678) 923-6645 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2025, May 11, 2017 (2 updates tracked since 2017).

About Dr. Cory Duncan Md NPPES

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

DR. CORY DUNCAN MD (NPI 1699719864) is an individual emergency medicine provider in Gainesville, Georgia, licensed in Georgia (77610) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Indiana University School Of Medicine (2002).

NPPES Registry Identity

NPI1699719864
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CORY DUNCANCredential: MD
Location Address535 JESSE JEWELL PKWY SE, SUITE AGainesville, GA 30501-3772
Mailing Address5921 Yoshino Cherry LnBraselton, GA 30517-7026 · (817) 343-2345
Phone(678) 923-6645
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2002
Enumeration DateJune 16, 2006
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1699719864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in GA · 77610✔ Licensed in TX · N7417✔ Licensed in IN · 1057743A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
535 JESSE JEWELL PKWY SE, Gainesville, GA 30501
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Other Identifiers 3

Medicaid217503602TX
Medicaid217503601TX
OtherP00911192TX · Rrmcare Thru Aema

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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. Cory Duncan 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 ID2860452562
PECOS Enrollment IDI20170912000624
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
221 services218 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
122 services121 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
62 services62 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services32 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 4

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

MARK M NOVOTNY O.D.
Optometrist
535 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 534-1711
NORTH GEORGIA OPTICIANS, INC
Durable Medical Equipment & Medical Supplies
535 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 534-1711
MRS. THERESA M PANTER APRN FNP-C
Nurse Practitioner (Family)
535 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 534-1711
DR. JOSHUA DAVID LOVELOCK M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
535 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 534-9014

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 Cory Duncan's NPI number?

The NPI number for Cory Duncan is 1699719864. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Cory Duncan located?

Cory Duncan practices at 535 Jesse Jewell Pkwy SE Suite A, Gainesville, GA 30501. The listed phone number is (678) 923-6645.

What is Cory Duncan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Cory Duncan enrolled in Medicare?

Yes. Cory 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.

What insurance does Cory Duncan accept?

Health plans from Alliant Health Plans, Inc. list Cory 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 Cory Duncan affiliated with any hospitals?

According to CMS data, Cory Duncan is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Cory Duncan was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.