Dr Timothy James Duncan, MD - Medicare Gastroenterology in Newport News, VA

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Dr Timothy James Duncan, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Newport News, Virginia. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2001 and has 23 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Sentara Medical Group and his current practice location is 1031 Loftis Blvd Ste 201, Newport News, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 736-9850.

Dr Timothy James Duncan is licensed to practice in Virginia (license number 0101251786) 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 1669466504.

Contact Information

Dr Timothy James Duncan, MD
1031 Loftis Blvd Ste 201,
Newport News, VA 23606-2981
(757) 736-9850
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy James Duncan
GenderMale
SpecialityGastroenterology
Experience23 Years
Location1031 Loftis Blvd Ste 201, Newport News, Virginia
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 Timothy James Duncan attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2001
  NPI Data:
  • NPI Number: 1669466504
  • Provider Enumeration Date: 09/07/2005
  • Last Update Date: 07/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961479001
  • Enrollment ID: I20121127000271

Medical Identifiers

Medical identifiers for Dr Timothy James Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669466504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 0101251786 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Careplex HospitalHampton, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sentara Medical Group89219039231091

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 Timothy James Duncan allows following entities to bill medicare on his behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466
Entity NameBayview Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508813387
PECOS PAC ID: 5597664201
Enrollment ID: O20031231000719

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 Timothy James 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 Timothy James Duncan, MD
1031 Loftis Blvd Ste 201,
Newport News, VA 23606-2981

Ph: (757) 736-9850		Dr Timothy James Duncan, MD
1031 Loftis Blvd Ste 201,
Newport News, VA 23606-2981

Ph: (757) 736-9850

Reviews and Comments


Internal Medicine Doctors in Newport News, VA

Carl Anthony Gibson, M.D.
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Muhammad Z Rizwan, MD
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Dr. Ashutosh Subhash Naniwadekar, MBBS
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Dr. Hemchand Ramberan, MD
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Practice Location: 12200 Warwick Blvd Ste 490, Newport News, VA 23601
Phone: 757-599-6333    Fax: 757-591-7261

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.