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

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: August 16, 2026.

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

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.

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

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.