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Dr. Gregory John Duncan , MD

Orthopaedic Surgery • Wrangell, AK

Active NPI 1164459921 Individual Practitioner Male Practitioner
Practice location in NPPES

Zimovia Highway Mile 5.5
Wrangell, AK 999299992

Call 7079519203 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Zimovia Highway Mile 5.5

Wrangell, AK 999299992

Telephone 7079519203

Medicare-allowed amount

About $66,766 in 2020

The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.

Paid by Medicare

About $41,734 in 2020

The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.

30-day fills

33 standardized 30-day fills in 2019

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$186 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Duncan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Duncan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Wrangell and Alaska

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Duncan are from 2020.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Duncan are from 2019.

1 active clinicians are listed under Orthopaedic Surgery with a practice address in Wrangell, AK (83 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2020.

CMS Part B · Data Year 2020
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2019 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2020; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
808 148 $10.00 $1.53
20610 Aspiration and/or injection of fluid from large joint
258 142 $66.57 $58.68
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
252 183 $78.61 $75.43
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose
103 32 $210.00 $136.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
63 54 $113.73 $109.35
20605 Aspiration and/or injection of fluid from medium joint
39 30 $54.32 $46.02
73562 X-ray of knee, 3 views
28 24 $43.33 $40.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
25 25 $170.87 $163.97
20600 Aspiration and/or injection of fluid from small joint
20 17 $52.92 $35.62
73130 X-ray of hand, minimum of 3 views
20 17 $37.21 $35.61
73030 X-ray of shoulder, minimum of 2 views
16 15 $38.43 $33.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
13 13 $113.32 $108.88

Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2019.

CMS Part D · Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 18 72 $148.37 18
Cephalexin Cephalexin 15 47 $37.90 14

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-02-02
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES CA A44032

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00A440320 (CA)
Other Identifier California Medical License
A044032 (CA)
Other Identifier Railroad Medicare
P00181543 (CA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20041122000637

Enrollment State Jurisdiction

CA

PECOS Control ID

9133018690

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location February 09, 2023

Registered at ZIMOVIA HIGHWAY MILE 5.5, WRANGELL, AK 999299992 (Tel: 7079519203)

📍
Updated Business Mailing Address February 09, 2023

Registered at PO BOX 392, WRANGELL, AK 999290392 (Tel: 7079519203)

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NPI Profile Active March 24, 2008

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 24, 2008

Registered at 1200 MARSHALL ST, CRESCENT CITY, CA 955312217 (Tel: 7074651126)

📍
Business Mailing Address (Initial Record) March 24, 2008

Registered at 1200 MARSHALL ST, CRESCENT CITY, CA 955312217 (Tel: 7074651126)

👤
Provider Name / Credentials (Initial Record) March 24, 2008

Recorded as GREGORY DUNCAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2008

Orthopaedic Surgery (license number reported to NPPES: CA A44032)

🟢
Initial NPI Registration & Enumeration June 27, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164459921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: February 09, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 392

Wrangell, AK 999290392

Phone: 7079519203

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.