DR. CASEY BOYD DUNCAN MD
NPI 1962669978
Surgery - Surgical Oncology in Houston, TX

Active since May 19, 2008PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
1400 PRESSLER ST, STE. FCT17.6000, HOUSTON, TX 77030(713) 794-1552 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Casey Boyd Duncan Md NPPES

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

DR. CASEY BOYD DUNCAN MD (NPI 1962669978) is an individual surgical oncology provider in Houston, Texas, licensed in Texas (Q5792) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Ohio State University College Of Medicine (2008).

NPPES Registry Identity

NPI1962669978
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. CASEY BOYD DUNCANCredential: MD
Location Address1400 PRESSLER ST, STE. FCT17.6000Houston, TX 77030-3722
Mailing Address1400 Pressler St, Ste. Fct17.6000Houston, TX 77030-3722 · (713) 794-1552
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2008
Enumeration DateMay 19, 2008
Last NPPES UpdateJanuary 25, 2016
NPI 1962669978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in TX · Q5792
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License BP1-0032094 (TX)
1400 PRESSLER ST, Houston, TX 77030

Other Identifiers 3

Other8FN848TX · Bcbs (mdacc)
Medicare PIN450941YKQH (MDACC)TX
Medicaid352389601 (MDACC)TX

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

Dr. Casey Boyd 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 ID1052621406
PECOS Enrollment IDI20151114000065
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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Radiology (Diagnostic Radiology)
1400 PRESSLER ST
HOUSTON, TX 77030
Radiology (Body Imaging)
1400 PRESSLER ST, FCT 15.6038
HOUSTON, TX 77030
Plastic Surgery
1400 PRESSLER ST
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1400 PRESSLER ST
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1400 PRESSLER ST
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
1400 PRESSLER ST
HOUSTON, TX 77030
Internal Medicine (Hematology & Oncology)
1400 PRESSLER ST, FC.4.3000, DEPT. LEUKEMIA, MD ANDERSON CANCER CENTER
HOUSTON, TX 77030
Nurse Practitioner (Family)
1400 PRESSLER ST
HOUSTON, TX 77030

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 Casey Duncan's NPI number?

The NPI number for Casey Duncan is 1962669978. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Casey Duncan located?

Casey Duncan practices at 1400 Pressler St Ste. Fct17.6000, Houston, TX 77030. The listed phone number is (713) 794-1552.

What is Casey Duncan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Casey Duncan enrolled in Medicare?

Yes. Casey 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 Casey 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 5 other insurers list Casey 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 Casey Duncan affiliated with any hospitals?

According to CMS data, Casey Duncan is affiliated with Memorial Hermann - Texas Medical Center, Harris Health System and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Casey Duncan was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.