Kathyann Duncan, M.D.
NPI 1215049630 · Family Medicine Physician · Vauxhall, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathyann Duncan, M.D. is a Family Medicine Physician provider in Vauxhall, NJ (NPI 1215049630).
Provider details
- NPI number
- 1215049630
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MA06382900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
50 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 29 | $140 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 21 | $100 |
Typical Medicare-allowed amounts for these services range $100–$140 (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 · 65 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 159 | 46 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 155 | 37 |
| Amlodipine Besylate | 155 | 47 |
| Hydrochlorothiazide | 124 | 32 |
| Metformin Hcl | 108 | 29 |
| Losartan Potassium | 103 | 33 |
| Enalapril Maleate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$576 across 23 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2024-01-26
- Certified
- 2024-01-26
Frequently asked questions
- What is Kathyann Duncan's NPI number?
- Kathyann Duncan's National Provider Identifier (NPI) is 1215049630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathyann Duncan's specialty?
- Kathyann Duncan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kathyann Duncan located?
- Kathyann Duncan's practice location on file with NPPES is 3 Farrington St, Vauxhall, NJ 07088-1307.
- What is Kathyann Duncan's phone number?
- The practice phone number listed in the NPPES registry for Kathyann Duncan is (908) 868-8904.
- Does Kathyann Duncan accept Medicare?
- Kathyann Duncan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kathyann Duncan's NPI active?
- Yes — Kathyann Duncan's NPI (1215049630) is active in the NPPES registry as of the last update on 2024-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.