Dr. Robert William Duncan , OD
Optometrist • Festus, MO
341a N Creek Dr
Festus, MO 630282657
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 18, 2020; this date does not establish years in practice.
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Published CMS data list 141 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 92014 — Established patient complete exam of visual system: 47 service units.
- 92250 — Photography of the retina: 39 service units.
- 99213 — Established patient outpatient office visit: 26 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 103 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Latanoprost — 56 prescription fills, including refills.
- Restasis (Cyclosporine) — 17 prescription fills, including refills.
- Prednisolone Acetate — 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 70% of clinicians listed under Optometrist in Missouri (2024, 680 clinicians with data). Median for this group: 291. Middle half: 128 to 693.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 22 in 2020 to 141 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
341a N Creek Dr
Festus, MO 630282657
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 9 distinct additional practice-address records in Affton, MO; Arnold, MO; Imperial, MO and 2 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Clarkson Optometry Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Southern College Of Optometry
2020
What Public CMS Data Show
Optometrist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
101 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $13,090 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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, 2024.
Paid by Medicare
About $8,027 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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, 2024.
30-day fills
205 standardized 30-day fills in 2024
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
$21,021 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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, 2024.
Open Payments general payments, program year 2025
All general payments: $187.56 across 4 records.
By nature of payment
- Food and Beverage: $187.56 across 4 records.
Reporting-company totals
- Tarsus Pharmaceuticals, Inc.: $123.01 across 1 record.
- Bausch & Lomb Americas Inc.: $41.51 across 2 records.
- Alcon Vision LLC: $23.04 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
6 years (graduated 2020)
CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2020
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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?”
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.
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.
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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Festus and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Optometrist in Missouri (2024, 680 clinicians with data). Median for this group: 291. Middle half: 128 to 693.
Too few clinicians listed under Optometrist in Festus have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 65% of clinicians listed under Optometrist in Missouri (2024, 680 clinicians with data). Median for this group: $24,109. Middle half: $11,428 to $55,341.
Too few clinicians listed under Optometrist in Festus have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Optometrist in Missouri (2024, 680 clinicians with data). Median for this group: $15,741. Middle half: $7,255 to $35,871.
Too few clinicians listed under Optometrist in Festus have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Optometrist in Missouri (2024, 677 clinicians with data). Median for this group: 139. Middle half: 47 to 330.
Too few clinicians listed under Optometrist in Festus have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Optometrist in Missouri (2024, 677 clinicians with data). Median for this group: $8,383. Middle half: $753 to $37,646.
Too few clinicians listed under Optometrist in Festus have Medicare Part D data for 2024 to compare.
8 active clinicians are listed under Optometrist with a practice address in Festus, MO (1,242 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 541% from 22 in 2020 to 141 in 2024.
- 2020: 22
- 2021: 102
- 2022: 128
- 2023: 119
- 2024: 141
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Medicare-allowed amount
Medicare-allowed amount increased 374% from $2,765 in 2020 to $13,090 in 2024.
- 2020: $2,765
- 2021: $12,563
- 2022: $13,988
- 2023: $12,718
- 2024: $13,090
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Paid by Medicare
Paid by Medicare increased 341% from $1,822 in 2020 to $8,027 in 2024.
- 2020: $1,822
- 2021: $7,293
- 2022: $9,185
- 2023: $8,318
- 2024: $8,027
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 164% from 39 in 2021 to 103 in 2024.
- 2021: 39
- 2022: 83
- 2023: 89
- 2024: 103
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30-day fills
30-day fills increased 235% from 61 in 2021 to 205 in 2024.
- 2021: 61
- 2022: 143
- 2023: 152
- 2024: 205
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Part D drug cost
Part D drug cost went from $849 in 2021 to $21,021 in 2024.
- 2021: $849
- 2022: $2,177
- 2023: $12,504
- 2024: $21,021
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $335.70 in 2021 to $187.56 in 2025.
- 2021: $335.70
- 2022: $203.66
- 2023: $309.72
- 2024: $174.60
- 2025: $187.56
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $187.56.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Tarsus Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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XDEMVY | General | $123.01 |
| Alcon Vision LLC |
Food and Beverage
In-kind items and services
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Precision7 | General | $23.04 |
| Bausch & Lomb Americas Inc. |
Food and Beverage
In-kind items and services
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INFUSE | General | $22.83 |
| Bausch & Lomb Americas Inc. |
Food and Beverage
In-kind items and services
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XIIDRA | General | $18.68 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 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, 2020–2024; 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 |
|---|---|---|---|---|
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92014
Established patient complete exam of visual system
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47 | 47 | $165.00 | $120.16 |
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92250
Photography of the retina
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39 | 38 | $74.69 | $35.23 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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26 | 23 | $148.73 | $87.18 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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17 | 16 | $210.78 | $123.58 |
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92004
New patient complete exam of visual system
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12 | 12 | $199.00 | $141.77 |
Source: CMS Part B by Provider and Service, 2024; 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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Latanoprost | Latanoprost | 56 | 4,213 | $814.78 | 16 |
| Restasis | Cyclosporine | 17 | 990 | $19,506.28 | — |
| Prednisolone Acetate | Prednisolone Acetate | 15 | 406 | $537.47 | — |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 15 | 191 | $161.97 | 14 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-06-18NUCC Taxonomy Code: 152W00000X
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPTOMETRY
I20200622000183
MO
6204258213
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Clarkson Optometry Inc
3122 S Grand Blvd, St Louis, MO 631181012
Phone: 3144507313
Secondary Practice Locations
730 S Kirkwood Rd
Kirkwood, MO 631225929
Phone: 3148212626
3936 Vogel Rd
Arnold, MO 630103790
Phone: 6362004393
4305 Butler Hill Rd
Saint Louis, MO 631283702
Phone: 3144874744
12406 Tesson Ferry Rd
Saint Louis, MO 631282702
Phone: 3148431716
10101 Gravois Rd
Affton, MO 631234025
Phone: 3142829050
5632a Telegraph Rd
Saint Louis, MO 631294243
Phone: 3143347000
6415 Chippewa St
Saint Louis, MO 631092104
Phone: 3144571880
1259 Main St
Imperial, MO 630523852
Phone: 6364610470
2572 Lemay Ferry Rd
Saint Louis, MO 631253131
Phone: 3148923321
Career & Practice History
NPI enumerated June 18, 2020.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from July 2020 to August 2026.
NPI Administrative Meta
Other Optometrists in Festus
Healthcare providers in FestusMailing Address
Po Box 207158
Dallas, TX 753207158
Phone: 6362004393