Phillip Duncan, M.D.
NPI 1215067509 · Cardiovascular Disease Physician · Chester, VA
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Duncan, M.D. is a Cardiovascular Disease Physician provider in Chester, VA (NPI 1215067509).
Provider details
- NPI number
- 1215067509
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101035649 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
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
583 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 271 | $113 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 49 | $109 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $78 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 40 | $77 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 38 | $75 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 134 | 47 |
| Carvedilol | 133 | 43 |
| Atorvastatin Calcium | 92 | 34 |
| Rosuvastatin Calcium | 83 | 29 |
| Spironolactone | 56 | 17 |
| Metoprolol Succinate | 50 | 20 |
| Empagliflozinbrand: Jardiance |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$160 across 2 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
- 2007-03-06
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Frequently asked questions
- What is Phillip Duncan's NPI number?
- Phillip Duncan's National Provider Identifier (NPI) is 1215067509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Duncan's specialty?
- Phillip Duncan is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Phillip Duncan located?
- Phillip Duncan's practice location on file with NPPES is 281 E Hundred Rd, Chester, VA 23836-2613.
- What is Phillip Duncan's phone number?
- The practice phone number listed in the NPPES registry for Phillip Duncan is (804) 530-5178.
- Does Phillip Duncan accept Medicare?
- Phillip Duncan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Duncan's NPI active?
- Yes — Phillip Duncan's NPI (1215067509) is active in the NPPES registry as of the last update on 2024-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.