Dr Michael P Duncan, MD - Medicare Sports Medicine in Philadelphia, PA

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Dr Michael P Duncan, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Philadelphia, Pennsylvania. He went to Georgetown University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Reconstructive Orthopaedic Associates Ii Llc and his current practice location is 925 Chestnut St, 5th Floor, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (267) 339-3500.

Dr Michael P Duncan is licensed to practice in Pennsylvania (license number MD439452) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588993596.

Contact Information

Dr Michael P Duncan, MD
925 Chestnut St, 5th Floor,
Philadelphia, PA 19107-4216
(267) 339-3500
(267) 339-3761

Map and Direction




Physician's Profile

Full NameDr Michael P Duncan
GenderMale
SpecialitySports Medicine
Experience17 Years
Location925 Chestnut St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael P Duncan attended and graduated from Georgetown University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1588993596
  • Provider Enumeration Date: 12/22/2009
  • Last Update Date: 11/10/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2860663499
  • Enrollment ID: I20110912000536

Medical Identifiers

Medical identifiers for Dr Michael P Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588993596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MT190706 (Pennsylvania)Secondary
207QS0010XFamily Medicine - Sports Medicine MD439452 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Main Line Hospital LankenauWynnewood, PAHospital
Riddle Memorial HospitalMedia, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Reconstructive Orthopaedic Associates Ii Llc7416845318259

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. Dr Michael P Duncan allows following entities to bill medicare on his behalf.
Entity NamePremier Orthopaedic And Sports Medicine Associates, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215987243
PECOS PAC ID: 5890681092
Enrollment ID: O20040225000221
Entity NameReconstructive Orthopaedic Associates Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861433278
PECOS PAC ID: 7416845318
Enrollment ID: O20040310000667

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. Dr Michael P 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
Dr Michael P Duncan, MD
833 Chestnut St, Suite 1402,
Philadelphia, PA 19107-4414

Ph: (800) 321-9999		Dr Michael P Duncan, MD
925 Chestnut St, 5th Floor,
Philadelphia, PA 19107-4216

Ph: (267) 339-3500

Reviews and Comments


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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.