Thomas Duncan, MPA, PA-C
NPI 1528449790 · Physician Assistant · Newport News, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Duncan, MPA, PA-C is a Physician Assistant provider in Newport News, VA (NPI 1528449790).
Provider details
- NPI number
- 1528449790
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MPA, PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0110004996 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 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
423 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 158 | $56 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 136 | $83 |
| Telephone, Internet, Or Electronic Health Record Assessment and Management With Written Report By Consulting Physician, at Least 5 Minutes99451 | 41 | $30 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 39 | $123 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 19 | $56 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 159 | 64 |
| Apixabanbrand: Eliquis | 155 | 37 |
| Atorvastatin Calcium | 138 | 57 |
| Carvedilol | 125 | 52 |
| Amlodipine Besylate | 118 | 42 |
| Furosemide | 117 | 48 |
| Metoprolol Tartrate | 84 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-14
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Frequently asked questions
- What is Thomas Duncan's NPI number?
- Thomas Duncan's National Provider Identifier (NPI) is 1528449790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Duncan's specialty?
- Thomas Duncan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Thomas Duncan located?
- Thomas Duncan's practice location on file with NPPES is 11803 Jefferson Ave Ste 205, Newport News, VA 23606-2565.
- What is Thomas Duncan's phone number?
- The practice phone number listed in the NPPES registry for Thomas Duncan is (757) 736-9860.
- Does Thomas Duncan accept Medicare?
- Thomas Duncan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Duncan's NPI active?
- Yes — Thomas Duncan's NPI (1528449790) is active in the NPPES registry as of the last update on 2024-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.