FRANK YOUNG DUNCAN III MD
NPI 1922048800
Emergency Medicine in Grand Haven, MI

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
1309 SHELDON RD, GRAND HAVEN, MI 49417(616) 842-3600 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frank Young Duncan Iii Md NPPES

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

FRANK YOUNG DUNCAN III MD (NPI 1922048800) is an individual emergency medicine provider in Grand Haven, Michigan, licensed in Michigan (4301078625) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Muskegon.

NPPES Registry Identity

NPI1922048800
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameFRANK YOUNG DUNCAN IIICredential: MD
Location Address1309 SHELDON RDGrand Haven, MI 49417
Mailing Address5917 Yorkdale Ct SwGrandville, MI 49418-3375 · (616) 460-9267
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2001
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 9, 2019
NPI 1922048800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 4301078625
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1309 SHELDON RD, Grand Haven, MI 49417

Secondary Practice Location 1

Location 11500 E Sherman BlvdMuskegon, MI 49443 · Phone (231) 739-9341

Other Identifiers 2

OtherFD078625MI · Bcbs
Medicaid104812676MI

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

Frank Young Duncan Iii 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 ID5799753448
PECOS Enrollment IDI20060117000754
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
187 services180 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
145 services142 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
131 services126 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services35 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Aspirus Keweenaw Hospital And Clinics

Critical Access Hospitals · Laurium, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231319
Location205 OsceolaLaurium, MI 49913 · Houghton County
Emergency services Birthing friendly

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49417 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

Physician Assistant
1309 SHELDON RD
GRAND HAVEN, MI 49417
Social Worker (Clinical)
1309 SHELDON RD
GRAND HAVEN, MI 49417
Pathology (Anatomic Pathology & Clinical Pathology)
1309 SHELDON RD
GRAND HAVEN, MI 49417
Dietitian, Registered (Nutrition, Renal)
1309 SHELDON RD
GRAND HAVEN, MI 49417
Social Worker (Clinical)
1309 SHELDON RD
GRAND HAVEN, MI 49417
Pharmacist
1309 SHELDON RD
GRAND HAVEN, MI 49417
General Acute Care Hospital
1309 SHELDON RD
GRAND HAVEN, MI 49417
Social Worker (Clinical)
1309 SHELDON RD
GRAND HAVEN, MI 49417

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 Frank Duncan's NPI number?

The NPI number for Frank Duncan is 1922048800. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Frank Duncan located?

Frank Duncan practices at 1309 Sheldon Rd, Grand Haven, MI 49417. The listed phone number is (616) 842-3600.

What is Frank Duncan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Frank Duncan enrolled in Medicare?

Yes. Frank 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 Frank Duncan accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Frank 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.

Is Frank Duncan affiliated with any hospitals?

According to CMS data, Frank Duncan is affiliated with Bronson Methodist Hospital, Holland Community Hospital, Bronson South Haven Hospital, Aspirus Keweenaw Hospital And Clinics and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Frank Duncan was last updated on July 9, 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.