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

Q: 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.

Q: What is Blanca Duncan's specialty?

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

Q: 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.

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: August 02, 2026.

On this page

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

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.

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

Quality

61.27

Promoting Interoperability

100

Improvement Activities

Cost

47.12

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.

What insurance does Blanca Duncan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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.