DR. ELBERT ALAN DUNCAN M.D.
NPI 1720020795
Radiology - Radiation Oncology in Tupelo, MS

Q: What is Elbert Duncan's NPI number?

The NPI number for Elbert Duncan is 1720020795. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Elbert Duncan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Elbert Duncan was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 12, 2006PECOS EnrolledAccepts Medicare Assignment

990 SOUTH MADISON STREET, TUPELO, MS 38801(662) 620-7101(662) 842-1457 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Elbert Alan Duncan M.d. NPPES

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

DR. ELBERT ALAN DUNCAN M.D. (NPI 1720020795) is an individual radiation oncology provider in Tupelo, Mississippi, licensed in Mississippi (11616) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1980).

NPPES Registry Identity

NPI1720020795

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. ELBERT ALAN DUNCANCredential: M.D.

Location Address990 SOUTH MADISON STREETTupelo, MS 38801-6308

Mailing Address2000a Southbridge Pkwy, Ste 300Birmingham, AL 35209-7718 · (205) 871-4274 · Fax (205) 871-4301

Phone(662) 620-7101

Fax(662) 842-1457

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1980

Enumeration DateJune 12, 2006

Last NPPES UpdateDecember 30, 2015

✔ NPI 1720020795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in MS · 11616

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

990 SOUTH MADISON STREET, Tupelo, MS 38801

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Other Identifiers 16

Medicaid144351AL

Medicaid144391AL

Other511-55489AL · Blue Cross

Other300001093Medicare

Medicaid166717AL

Medicare UPINB30987MS

Medicaid009700300AL

Other511-30495AL · Blue Cross

Medicaid144586AL

Medicare PIN102I928674AL

Other511-30494AL · Blue Cross

Other300125168MS · Railroad Medicare

Other511-30486AL · Blue Cross

Medicare OSCAR/certification300001206

Medicare PIN300000084MS

Medicaid00017748MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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. Elbert Alan 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 ID3870554132

PECOS Enrollment IDI20121217000122

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 18

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.

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015

Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulatingâ€”or controllingâ€”the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.

1,927 services84 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

1,039 services57 patients

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

920 services50 patients

Continuing radiation therapy consultation per week 77336

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

395 services85 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

236 services81 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

169 services72 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

139 services110 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

131 services98 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

86 services73 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

80 services73 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

76 services76 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

71 services70 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

70 services68 patients

Testosterone (hormone) level, total 84403

A total testosterone level test measures the amount of a key hormone in your body. This hormone influences various body functions such as muscle mass, energy levels, and mood. The test involves a simple blood draw, and results help monitor health conditions.

56 services47 patients

Special medical radiation therapy consultation 77370

A special medical radiation therapy consultation involves discussing the use of high-energy radiation to treat diseases, primarily cancer. It's a chance to understand the process, potential side effects, and benefits. It is a key step in planning your treatment.

38 services37 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

31 services31 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.

20 services18 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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

$159.18 typical visit price

range $51.65 – $159.18

Typical copayment $39.79 (range $12.91 – $39.79)

Most-billed visit code 99205

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

75%40 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.

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Other Providers at the Same Location NPPES 2

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

DR. WILLIAM RAY REED JR. M.D.

Radiology (Radiation Oncology)

990 SOUTH MADISON STREET
TUPELO, MS 38801

Lee County (662) 620-7101

RADIATION ONCOLOGY OF NORTH MISSISSIPPI PLLC

Radiology (Radiation Oncology)

990 SOUTH MADISON STREET
TUPELO, MS 38801

Lee County (662) 377-4077

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 Elbert Duncan's NPI number?

The NPI number for Elbert Duncan is 1720020795. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Elbert Duncan located?

Elbert Duncan practices at 990 South Madison Street, Tupelo, MS 38801. The listed phone number is (662) 620-7101.

What is Elbert Duncan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Elbert Duncan enrolled in Medicare?

Yes. Elbert 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 Elbert Duncan accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Elbert 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 Elbert Duncan was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.