MRS. SUZANNA DUNCAN NP-C
NPI 1861852139
Nurse Practitioner - Family in Gallipolis, OH

Q: What is Suzanna Duncan's NPI number?

The NPI number for Suzanna Duncan is 1861852139. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Q: What is Suzanna Duncan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Suzanna Duncan was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 01, 2016PECOS EnrolledAccepts Medicare Assignment

81.42/100

CMS Quality Rating

100 JACKSON PIKE, GALLIPOLIS, OH 45631(855) 446-5937 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, Nov 5, 2019, Mar 1, 2016 (3 updates tracked since 2016).

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About Mrs. Suzanna Duncan Np-c NPPES

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

MRS. SUZANNA DUNCAN NP-C (NPI 1861852139) is an individual family provider in Gallipolis, Ohio, licensed in Ohio (COA.18711-NP) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861852139

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SUZANNA DUNCANCredential: NP-C

Location Address100 JACKSON PIKEGallipolis, OH 45631-1560

Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 446-5000

Phone(855) 446-5937

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 1, 2016

Last NPPES UpdateJanuary 21, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2021

✔ NPI 1861852139 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 · COA.18711-NP

100 JACKSON PIKE, Gallipolis, OH 45631

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Other Identifiers 1

Medicaid0164293OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Mrs. Suzanna Duncan Np-c 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 ID1355630658

PECOS Enrollment IDI20160510000179

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

198 services90 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

47 services22 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.

45 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361320

Location500 Burlington RoadJackson, OH 45640 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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.

81.42/100

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

Scored as part of a group practice

Quality

69.28

Promoting Interoperability

100

Improvement Activities

Cost

57.96

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

5 suppliers33 claims422 services$19.44 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

6 suppliers34 claims1,075 services$2.40 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers66 claims181 services$5.72 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers17 claims23 services$0.88 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers23 claims23 services$292.98 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

5 suppliers37 claims2,240 services$6.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EUGENIA KAY MCCOY CRNA, DMPNA

Nurse Anesthetist, Certified Registered