Tommy Duncan, MD
NPI 1194882258 · Family Medicine Physician · Keller, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tommy Duncan, MD is a Family Medicine Physician provider in Keller, TX (NPI 1194882258).
Provider details
- NPI number
- 1194882258
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M5139 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
426 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 204 | $122 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 88 | $127 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 60 | $88 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 45 | $14 |
| Hemoglobin A1c Level83036 | 29 | $10 |
Typical Medicare-allowed amounts for these services range $10–$127 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 103 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 215 | 58 |
| Atorvastatin Calcium | 175 | 56 |
| Lisinopril | 136 | 44 |
| Zolpidem Tartrate | 135 | 28 |
| Levothyroxine Sodium | 126 | 37 |
| Escitalopram Oxalate | 116 | 32 |
| Hydrochlorothiazide |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-01
- Last updated
- 2008-12-08
Frequently asked questions
- What is Tommy Duncan's NPI number?
- Tommy Duncan's National Provider Identifier (NPI) is 1194882258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tommy Duncan's specialty?
- Tommy Duncan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tommy Duncan located?
- Tommy Duncan's practice location on file with NPPES is 3529 Heritage Trace Pkwy, Keller, TX 76248-0970.
- What is Tommy Duncan's phone number?
- The practice phone number listed in the NPPES registry for Tommy Duncan is (817) 741-7960.
- Does Tommy Duncan accept Medicare?
- Tommy Duncan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tommy Duncan's NPI active?
- Yes — Tommy Duncan's NPI (1194882258) is active in the NPPES registry as of the last update on 2008-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.