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BLANCA A. DUNCAN M.D.
NPI 1902008253
Obstetrics & Gynecology in Round Rock, TX

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
511 OAKWOOD BLVD STE 301, ROUND ROCK, TX 78681(512) 244-3698(512) 244-0214 Get Directions Write a Review

NPPES record last updated: July 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blanca A. Duncan M.d. NPPES

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

BLANCA A. DUNCAN M.D. (NPI 1902008253) is an individual obstetrics & gynecology provider in Round Rock, Texas, licensed in Texas (P0824) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1902008253
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameBLANCA A. DUNCANCredential: M.D.
Location Address511 OAKWOOD BLVD STE 301Round Rock, TX 78681-4068
Mailing Address7718 Wood Hollow Dr Ste 103Austin, TX 78731-1601 · (512) 279-6749 · Fax (512) 279-6750
Phone(512) 244-3698
Fax(512) 244-0214
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 31, 2007
Last NPPES UpdateJuly 13, 2019
✔ NPI 1902008253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · P0824
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
511 OAKWOOD BLVD STE 301, Round Rock, TX 78681
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blanca A. 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 ID2466626635
PECOS Enrollment IDI20111128000448
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Blanca Duncan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obhg Texas Holdings, P.A.
6.9 mi
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
NPI 1083917769 (800) 967-2289
Seton Family Of Doctors
7.6 mi
Family Medicine
3001 PALM WAY, D1 : 134-138
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
NPI 1225644065 (512) 324-5938

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78681 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Cervical Cancer Screening
80%90 patients4/55-star benchmark: 98%
e-Prescribing
95%992 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%53 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%102 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 43 patients
0%43 patients
Provide Patients Electronic Access to Their Health Information
91%780 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.

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. KATHRYN ANN ANGER M.D.
Obstetrics & Gynecology
511 OAKWOOD BLVD STE 301
ROUND ROCK, TX 78681
Williamson County (512) 244-3698
DR. ALICIA HERNANDEZ MD
Obstetrics & Gynecology
511 OAKWOOD BLVD STE 301
ROUND ROCK, TX 78681
Williamson County (512) 244-3698

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 Blanca Duncan's NPI number?

The NPI number for Blanca Duncan is 1902008253. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Blanca Duncan located?

Blanca Duncan practices at 511 Oakwood Blvd Ste 301, Round Rock, TX 78681. The listed phone number is (512) 244-3698.

What is Blanca Duncan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Blanca Duncan enrolled in Medicare?

Yes. Blanca 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.

Which organizations bill Medicare for Blanca Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blanca Duncan reassigns Medicare benefits to 2 organizations: Obhg Texas Holdings, P.A. (Austin, TX) and Seton Family Of Doctors (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blanca Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blanca Duncan accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Blanca 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 Blanca Duncan was last updated on July 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.