MONICA DUNCAN P.A.
NPI 1922556976
Physician Assistant in Fort Pierce, FL

Active since September 20, 2016PECOS EnrolledAccepts Medicare Assignment
4632 S 25TH ST, FORT PIERCE, FL 34981(772) 464-9595(772) 464-9582 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2024, Jun 10, 2024, Sep 22, 2016 (3 updates tracked since 2016).

About Monica Duncan P.a. NPPES

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

MONICA DUNCAN P.A. (NPI 1922556976) is an individual physician assistant in Fort Pierce, Florida, licensed in Florida (PA9109742) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains a secondary practice location in Port St Lucie.

NPPES Registry Identity

NPI1922556976
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMONICA DUNCANCredential: P.A.
Location Address4632 S 25TH STFort Pierce, FL 34981-5057
Mailing Address4632 S 25th StFort Pierce, FL 34981-5057 · (772) 464-9595 · Fax (772) 464-9582
Fax(772) 464-9582
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 20, 2016
Last NPPES UpdateFebruary 18, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
NPI 1922556976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9109742
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4632 S 25TH ST, Fort Pierce, FL 34981

Secondary Practice Location 1

Location 11731 SW Gatlin BlvdPort St Lucie, FL 34953-2757 · Phone (772) 344-0022 · Fax (772) 344-0032

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

Monica Duncan P.a. 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 ID4789966243
PECOS Enrollment IDI20170118002966
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 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
454 services267 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
205 services178 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
138 services138 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
117 services105 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
77 services70 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
63 services54 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34981 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.57 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology (Facial Plastic Surgery)
4632 S 25TH ST
FORT PIERCE, FL 34981
Otolaryngology
4632 S 25TH ST
FORT PIERCE, FL 34981
Otolaryngology (Otolaryngic Allergy)
4632 S 25TH ST
FORT PIERCE, FL 34981
Nurse Practitioner
4632 S 25TH ST
FORT PIERCE, FL 34981
Audiologist
4632 S 25TH ST
FORT PIERCE, FL 34981
Otolaryngology
4632 S 25TH ST
FORT PIERCE, FL 34981

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 Monica Duncan's NPI number?

The NPI number for Monica Duncan is 1922556976. It was assigned to this individual provider in the NPPES registry on September 20, 2016.

Where is Monica Duncan located?

Monica Duncan practices at 4632 S 25th St, Fort Pierce, FL 34981. The listed phone number is (772) 464-9595.

What is Monica Duncan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Monica Duncan enrolled in Medicare?

Yes. Monica 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 Monica Duncan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and UnitedHealthcare list Monica 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 Monica Duncan affiliated with any hospitals?

According to CMS data, Monica Duncan is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Monica Duncan was last updated on February 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.