BRIAN EDWARD DUNCAN NP
NPI 1710237425
Nurse Practitioner in Concord, NC

Q: What is Brian Duncan's NPI number?

The NPI number for Brian Duncan is 1710237425. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Q: What is Brian Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Duncan was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 11, 2012PECOS Enrolled

95.35/100

CMS Quality Rating

920 CHURCH ST N, SUITE 255, CONCORD, NC 28025(704) 403-1331 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 58 more (61 updates tracked since 2018).

On this page

About Brian Edward Duncan Np NPPES

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

BRIAN EDWARD DUNCAN NP (NPI 1710237425) is an individual nurse practitioner in Concord, North Carolina, licensed in North Carolina (5005802) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1710237425

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameBRIAN EDWARD DUNCANCredential: NP

Location Address920 CHURCH ST N, SUITE 255Concord, NC 28025-2927

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 403-1331

Sole ProprietorNo

Enumeration DateSeptember 11, 2012

Last NPPES UpdateJuly 15, 202461 updates tracked since enumeration

✔ NPI 1710237425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5005802

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedHospitalistTaxonomy 208M00000X · License 5005802 (NC)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5005802 (NC)

920 CHURCH ST N, Concord, NC 28025

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Secondary Practice Locations 4

Location 11000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720

Location 210628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070

Location 32001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070

Location 48800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Edward Duncan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Brian Duncan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network Inc

Same address

Hospice and Palliative Medicine

920 CHURCH ST N
Concord, NC 28025

Reassigned Medicare billing, North Carolina enrollment
1,646 clinicians in this Medicare group

NPI 1891058699 (704) 512-5363

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

154 services99 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

37 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

95.35/100

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

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

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.

LEONARD ALEXANDER STALLINGS MD

Emergency Medicine

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1311

PATRICK TWUM-BARIMAH MD

Internal Medicine

920 CHURCH ST N, SUITE 255
CONCORD, NC 28025

Cabarrus County (704) 403-1331

SHIVANGI MANU PATEL PA

Physician Assistant

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-3664

TONY RAY HINSON MD

Internal Medicine

920 CHURCH ST N, SUITE 255
CONCORD, NC 28025

Cabarrus County (704) 403-1331

AISHWARYA PALWAI MD

Internal Medicine (Critical Care Medicine)

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1311

MARLEE BODLE CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1412

NATALIA KOHL BECKER PA

Physician Assistant

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (952) 237-6564

CABARRUS MEMORIAL HOSPITAL

Home Health

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 783-3000

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 Brian Duncan's NPI number?

The NPI number for Brian Duncan is 1710237425. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Brian Duncan located?

Brian Duncan practices at 920 Church St N Suite 255, Concord, NC 28025. The listed phone number is (704) 403-1331.

What is Brian Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brian Duncan enrolled in Medicare?

Yes. Brian Duncan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Duncan reassigns Medicare benefits to Carolinas Physicians Network Inc (Concord, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Duncan was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.