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DR. HAZEL VANESSA DUNCAN M.D.
NPI 1922149632
Hospitalist in Roanoke Rapids, NC

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
250 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870(252) 535-8011(252) 794-2911 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2023, Nov 12, 2019, Dec 21, 2016 (3 updates tracked since 2016).

About Dr. Hazel Vanessa Duncan M.d. NPPES

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

DR. HAZEL VANESSA DUNCAN M.D. (NPI 1922149632) is an individual hospitalist provider in Roanoke Rapids, North Carolina, licensed in North Carolina (200400492) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1922149632
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. HAZEL VANESSA DUNCANCredential: M.D.
Location Address250 SMITH CHURCH RDRoanoke Rapids, NC 27870-4914
Mailing Address210 B Smith Church RoadRoanoke Rapids, NC 27870-4942 · (252) 535-8869 · Fax (252) 535-8868
Phone(252) 535-8011
Fax(252) 794-2911
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 8, 2007
Last NPPES UpdateMay 19, 20233 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1922149632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 200400492
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedSpecialistTaxonomy 174400000X · License 200400492 (NC)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 200400492 (NC)
250 SMITH CHURCH RD, Roanoke Rapids, NC 27870
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Other Identifiers 2

Other136YANC · Bcbs
Medicaid89136YANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare.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

Dr. Hazel Vanessa 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 ID547233538
PECOS Enrollment IDI20040817001410
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

6

Medicare enrollment records show Hazel Duncan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cogent Healthcare Of North Carolina, PC
34 mi
Internal Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 393 clinicians in this Medicare group
NPI 1548207483 (828) 456-7311
Novant Medical Group Inc
42 mi
Internal Medicine
100 HOSPITAL DR
Louisburg, NC 27549
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
NPI 1942522008 (919) 497-8048
Sound Physicians Of North Carolina, PLLC
77 mi
Hospitalist
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 77 clinicians in this Medicare group
NPI 1346661493 (252) 335-0531
Moses Cone Physician Services, Inc
106 mi
Family Medicine
3141 GARDEN RD
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
NPI 1194007583 (336) 584-0108
Unc Rockingham Health Care, Inc.
117 mi
Obstetrics & Gynecology
522 S VAN BUREN RD
Eden, NC 27288
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
NPI 1952806135 (336) 627-1117
Columbus Regional Health Network
156 mi
Orthopaedic Surgery
701 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 216 clinicians in this Medicare group
NPI 1790224962 (910) 641-8625

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
189 services181 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services12 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.
23 services22 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Alamance Regional Medical Center

Acute Care Hospitals · Burlington, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340070
Location1240 Huffman Mill RdBurlington, NC 27216 · Alamance County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27870 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier17 claims17 services$906.27 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.

HALIFAX REGIONAL MEDICAL CENTER INC.
General Acute Care Hospital
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
Halifax County (252) 535-8011
HALIFAX REGIONAL MEDICAL CENTER EMERGENCY PHYSICIANS BILLING
Emergency Medicine
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
Halifax County (252) 535-8011
DR. KAMLESH GUPTA M.D.
Pathology (Anatomic Pathology)
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
Halifax County (252) 535-8348
JESSICA LOUISE PERRY RD/LDN
Dietitian, Registered
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
Halifax County (252) 535-8035
ROANOKE VALLEY HEALTH SERVICES INC
Internal Medicine (Cardiovascular Disease)
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
Halifax County (252) 672-7732
MS. AYANNA SARAN GALLOWAY PA-C
Physician Assistant
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
Halifax County (252) 308-9699
DR. STEPHAN O GERLACH M.D.
Emergency Medicine
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
Halifax County (252) 535-5011
JOEY P. THOMAS, M.D.
Specialist
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
Halifax County (252) 535-8145

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 Hazel Duncan's NPI number?

The NPI number for Hazel Duncan is 1922149632. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Hazel Duncan located?

Hazel Duncan practices at 250 Smith Church Rd, Roanoke Rapids, NC 27870. The listed phone number is (252) 535-8011.

What is Hazel Duncan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hazel Duncan enrolled in Medicare?

Yes. Hazel 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 Hazel Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hazel Duncan reassigns Medicare benefits to 6 organizations: Cogent Healthcare Of North Carolina, PC (Rocky Mount, NC), Novant Medical Group Inc (Louisburg, NC), Sound Physicians Of North Carolina, PLLC (Elizabeth City, NC), Moses Cone Physician Services, Inc (Burlington, NC), Unc Rockingham Health Care, Inc. (Eden, NC) and 1 more organization, listed in the Medicare section above. 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 Hazel Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hazel Duncan accept?

Health plans from AmeriHealth Caritas Next and Cigna Healthcare list Hazel 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 Hazel Duncan affiliated with any hospitals?

According to CMS data, Hazel Duncan is affiliated with Novant Health Rowan Medical Center, Alamance Regional Medical Center and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Hazel Duncan was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.