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CATHERINE DUNCAN
NPI 1710460142
Nurse Practitioner - Family in Athens, OH

Active since September 12, 2018PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
2 HEALTH CENTER DR, ATHENS, OH 45701(740) 592-7100(740) 592-7112 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2022, Jul 15, 2020, Sep 12, 2018 (3 updates tracked since 2018).

About Catherine Duncan NPPES

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

CATHERINE DUNCAN (NPI 1710460142) is an individual family provider in Athens, Ohio, licensed in Ohio (APRN.CNP.023763) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710460142
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCATHERINE DUNCAN
Location Address2 HEALTH CENTER DRAthens, OH 45701-2907
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141 · (614) 544-6155 · Fax (614) 544-6370
Phone(740) 592-7100
Fax(740) 592-7112
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 12, 2018
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
✔ NPI 1710460142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.023763
2 HEALTH CENTER DR, Athens, OH 45701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Catherine Duncan 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 ID7214277581
PECOS Enrollment IDI20190322002215
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

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 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45701 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

DR. JOSEPH ALLEN HOLTEL D.O.
Family Medicine
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 593-1660
KRISTA M DUVAL DO
Family Medicine
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 593-1660
MR. JAMES ZACHARY ODENTHAL PT
Physical Therapist
2 HEALTH CENTER DR, 014
ATHENS, OH 45701
Athens County (740) 593-4722
DR. PAUL CASTELINO PH.D.
Counselor (Professional)
2 HEALTH CENTER DR, HUDSON HEALTH CENTER, 3RD FLOOR
ATHENS, OH 45701
Athens County (740) 593-1616
ANNA MARIE CLEM-BADHWAR DO
Family Medicine
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 592-7100
MR. ROGER F BARNHOUSE RPH
Pharmacist
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 286-3575
KATHRYN M BERNENS PA-C
Physician Assistant (Surgical)
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 592-7100
JANE THERESE BALBO DO
Family Medicine
2 HEALTH CENTER DR
ATHENS, OH 45701
Athens County (740) 593-1660

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 Catherine Duncan's NPI number?

The NPI number for Catherine Duncan is 1710460142. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Catherine Duncan located?

Catherine Duncan practices at 2 Health Center Dr, Athens, OH 45701. The listed phone number is (740) 592-7100.

What is Catherine Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Catherine Duncan enrolled in Medicare?

Yes. Catherine 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 Catherine Duncan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Catherine 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.

When was this NPI record last updated?

The NPPES record for Catherine Duncan was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.