CARTER M DUNCAN MD
NPI 1902486988
Family Medicine in Saint Paul, MN

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
580 RICE ST, SAINT PAUL, MN 55103(651) 223-7323(651) 227-1804 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Apr 13, 2021 (2 updates tracked since 2021).

About Carter M Duncan Md NPPES

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

CARTER M DUNCAN MD (NPI 1902486988) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (72097) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2021).

NPPES Registry Identity

NPI1902486988
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARTER M DUNCANCredential: MD
Location Address580 RICE STSaint Paul, MN 55103-2148
Mailing Address580 Rice StSaint Paul, MN 55103-2148 · (651) 223-7323 · Fax (651) 227-1804
Fax(651) 227-1804
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2021
Enumeration DateApril 13, 2021
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1902486988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 72097
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
580 RICE ST, Saint Paul, MN 55103

Accepted 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

Carter M Duncan Md 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 ID8820491566
PECOS Enrollment IDI20240830001004
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 55103 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Student in an Organized Health Care Education/Training Program
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Community/Behavioral Health
580 RICE ST
SAINT PAUL, MN 55103
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Student in an Organized Health Care Education/Training Program
580 RICE ST
SAINT PAUL, MN 55103
Pharmacist
580 RICE ST
SAINT PAUL, MN 55103
Student in an Organized Health Care Education/Training Program
580 RICE ST, BETHESDA CLINIC
SAINT PAUL, MN 55103

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 Carter Duncan's NPI number?

The NPI number for Carter Duncan is 1902486988. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Carter Duncan located?

Carter Duncan practices at 580 Rice St, Saint Paul, MN 55103. The listed phone number is (651) 223-7323.

What is Carter Duncan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carter Duncan enrolled in Medicare?

Yes. Carter 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 Carter Duncan accept?

Health plans from HealthPartners and Medica list Carter 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 Carter Duncan was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.