Mark Douglas Duncan, MD - Medicare General Surgery in Baltimore, MD

Mark Douglas Duncan, MD is a medicare enrolled "Surgery" physician in Baltimore, Maryland. He went to Mayo Medical School and graduated in 1987 and has 37 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Johns Hopkins University and his current practice location is 4940 Eastern Ave, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 550-0400.

Mark Douglas Duncan is licensed to practice in Maryland (license number D51208) 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 1225079593.

Contact Information

Mark Douglas Duncan, MD
4940 Eastern Ave,
Baltimore, MD 21224-2735
(410) 550-0400
Not Available

Map and Direction




Physician's Profile

Full NameMark Douglas Duncan
GenderMale
SpecialityGeneral Surgery
Experience37 Years
Location4940 Eastern Ave, Baltimore, Maryland
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:
  • Mark Douglas Duncan attended and graduated from Mayo Medical School in 1987
  NPI Data:
  • NPI Number: 1225079593
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 02/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4183817992
  • Enrollment ID: I20101025000445

Medical Identifiers

Medical identifiers for Mark Douglas Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225079593NPI-NPPES
530900000MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery D51208 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johns Hopkins Bayview Medical CenterBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Johns Hopkins University89219031472656

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. Mark Douglas Duncan allows following entities to bill medicare on his behalf.
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719

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. Mark Douglas 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
Mark Douglas Duncan, MD
Po Box 64563,
Baltimore, MD 21264-4563

Ph: (410) 550-1226
Mark Douglas Duncan, MD
4940 Eastern Ave,
Baltimore, MD 21224-2735

Ph: (410) 550-0400

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.