Douglas M Duncan, MD - Medicare Orthopaedic Surgery in Springfield, MO

Douglas M Duncan, MD is a medicare enrolled "Orthopaedic Surgery" physician in Springfield, Missouri. His current practice location is 3555 S National Ave, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 875-3800.

Douglas M Duncan is licensed to practice in Missouri (license number 32819) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942243506.

Contact Information

Douglas M Duncan, MD
3555 S National Ave,
Springfield, MO 65807-7310
(417) 875-3800
(417) 875-3176

Map and Direction




Physician's Profile

Full NameDouglas M Duncan
GenderMale
SpecialityOrthopaedic Surgery
Location3555 S National Ave, Springfield, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942243506
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 07/03/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2668402462
  • Enrollment ID: I20050820000088

Medical Identifiers

Medical identifiers for Douglas M Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942243506NPI-NPPES
106964OtherBLUE CROSS/BLUE SHIELD
200405207MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 32819 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas M Duncan allows following entities to bill medicare on his behalf.
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760405864
PECOS PAC ID: 8628092897
Enrollment ID: O20060116000342

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas M Duncan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Douglas M Duncan, MD
Po Box 9007,
Springfield, MO 65808-9007

Ph: (417) 875-3000
Douglas M Duncan, MD
3555 S National Ave,
Springfield, MO 65807-7310

Ph: (417) 875-3800

Reviews and Comments


Orthopaedic Surgery Doctors in Springfield, MO

Dr. Christopher Daniel Muncie, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3045 S National Ave Ste 110, Springfield, MO 65804
Phone: 417-820-5610    
Dr. John Scott Swango, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1229 E Seminole St, Springfield, MO 65804
Phone: 417-820-5610    Fax: 417-820-5589
Joshua Brandon, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3555 S National Ave, Springfield, MO 65807
Phone: 417-875-3800    
Dr. Victoria D. Kubik, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1229 E Seminole St, Springfield, MO 65804
Phone: 417-820-5610    Fax: 417-820-5588
Roy W Holand, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1001 E Primrose St, Springfield, MO 65807
Phone: 417-875-3000    
Ken J. Carpenter, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3555 S National Ave, Springfield, MO 65807
Phone: 417-875-3800    Fax: 417-875-3177
Dr. Vela Chebolu, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 3555 S National Ave, Springfield, MO 65807
Phone: 417-875-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.