GREGORY W DUNCAN
NPI 1851003412
Physical Therapist in Lexington, KY

Active since December 14, 2022Accepts Medicare Assignment
690 MASON HEADLEY RD, LEXINGTON, KY 40504(859) 278-9080 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2024, Dec 14, 2022 (2 updates tracked since 2022).

About Gregory W Duncan NPPES

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

GREGORY W DUNCAN (NPI 1851003412) is an individual physical therapist in Lexington, Kentucky, licensed in Kentucky (003791) and active in the NPI registry since December 2022. He is a graduate of Other (1999).

NPPES Registry Identity

NPI1851003412
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameGREGORY W DUNCAN
Location Address690 MASON HEADLEY RDLexington, KY 40504-2384
Mailing Address1021 Crimson Creek DrLexington, KY 40509-2385
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 14, 2022
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
NPI 1851003412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in KY · 003791
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

690 MASON HEADLEY RD, Lexington, KY 40504

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

Gregory W 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 ID3779016266
PECOS Enrollment IDI20241022004588

Areas of Expertise CMS Part B claims 5

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.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
305 services14 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
282 services14 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
159 services14 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
136 services13 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
98 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 7

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

Assisted Living Facility
690 MASON HEADLEY RD
LEXINGTON, KY 40504
Occupational Therapist
690 MASON HEADLEY RD
LEXINGTON, KY 40504
Occupational Therapist
690 MASON HEADLEY RD
LEXINGTON, KY 40504
Physical Therapist
690 MASON HEADLEY RD
LEXINGTON, KY 40504
Occupational Therapist
690 MASON HEADLEY RD
LEXINGTON, KY 40504
Physical Therapist
690 MASON HEADLEY RD
LEXINGTON, KY 40504
Speech-Language Pathologist
690 MASON HEADLEY RD
LEXINGTON, KY 40504

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 Gregory Duncan's NPI number?

The NPI number for Gregory Duncan is 1851003412. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Gregory Duncan located?

Gregory Duncan practices at 690 Mason Headley Rd, Lexington, KY 40504. The listed phone number is (859) 278-9080.

What is Gregory Duncan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Gregory Duncan enrolled in Medicare?

Yes. Gregory 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.

When was this NPI record last updated?

The NPPES record for Gregory Duncan was last updated on December 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.