DR. JONATHAN SCOTT DUNCAN M.D.
NPI 1699903765
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in San Antonio, TX

Active since June 29, 2009PECOS EnrolledAccepts Medicare Assignment
86.98/100
CMS Quality Rating
150 E SONTERRA BLVD, SUITE 300, SAN ANTONIO, TX 78258(210) 593-1475 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan Scott Duncan M.d. NPPES

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

DR. JONATHAN SCOTT DUNCAN M.D. (NPI 1699903765) is an individual orthopaedic surgery of the spine provider in San Antonio, Texas, licensed in Texas (Q5793) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2009).

NPPES Registry Identity

NPI1699903765
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. JONATHAN SCOTT DUNCANCredential: M.D.
Location Address150 E SONTERRA BLVD, SUITE 300San Antonio, TX 78258-4098
Mailing Address400 Concord Plaza Dr 300San Antonio, TX 78216-6991 · (210) 804-5416 · Fax (210) 678-4142
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2009
Enumeration DateJune 29, 2009
Last NPPES UpdateNovember 9, 2015
NPI 1699903765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in TX · Q5793
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 4301094182 (MI), 57543 (MN), Q5793 (TX)
150 E SONTERRA BLVD, San Antonio, TX 78258

Other Identifiers 1

Medicare PIN442645YLLUTX

Accepted 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. Jonathan Scott 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 ID9234361478
PECOS Enrollment IDI20151015001054
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 16

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
639 services438 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
245 services242 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.
126 services111 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
121 services93 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
94 services92 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

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.

86.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality62.07
Promoting Interoperability94
Improvement Activities40
Cost99.53

Reported Quality Measures

Advance Care Plan
18%944 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
48%597 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
0%1,318 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
53%53 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
87%46 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%3,134 patients4/55-star benchmark: 100%
e-Prescribing
99%319 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
4%905 patients1/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
31%51 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%2,016 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,995 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%2,716 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 52% · 1,627 patients
Patients screened: 58% · 1,627 patients
8%97 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 3% · 719 patients
3%719 patients
Provide Patients Electronic Access to Their Health Information
78%681 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%186 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 962 patients
Patients totalRate: 9% · 962 patients
9%962 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier12 claims12 services$47.90 avg. paid by Medicare
Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849
DME-Other DME · category DE000N
1 supplier12 claims12 services$39.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
150 E SONTERRA BLVD, 300
SAN ANTONIO, TX 78258
Internal Medicine (Infectious Disease)
150 E SONTERRA BLVD, SUITE 170
SAN ANTONIO, TX 78258
Obstetrics & Gynecology
150 E SONTERRA BLVD, SUITE 250
SAN ANTONIO, TX 78258
Physician Assistant (Medical)
150 E SONTERRA BLVD, STE 170
SAN ANTONIO, TX 78258
Physical Therapist
150 E SONTERRA BLVD, 300
SAN ANTONIO, TX 78258
Orthopaedic Surgery (Sports Medicine)
150 E SONTERRA BLVD, 300
SAN ANTONIO, TX 78258
Clinic/Center (Ambulatory Surgical)
150 E SONTERRA BLVD, SUITE 110
SAN ANTONIO, TX 78258
Physician Assistant
150 E SONTERRA BLVD, SUITE 220
SAN ANTONIO, TX 78258

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 Jonathan Duncan's NPI number?

The NPI number for Jonathan Duncan is 1699903765. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Jonathan Duncan located?

Jonathan Duncan practices at 150 E Sonterra Blvd Suite 300, San Antonio, TX 78258. The listed phone number is (210) 593-1475.

What is Jonathan Duncan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Jonathan Duncan enrolled in Medicare?

Yes. Jonathan 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 Jonathan Duncan accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Jonathan 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 Jonathan Duncan affiliated with any hospitals?

According to CMS data, Jonathan Duncan is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Duncan was last updated on November 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.