Stephen Duncan, MD
NPI 1578726873 · Adult Reconstructive Orthopaedic Surgery Physician · Lexington, KY
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Duncan, MD is a Adult Reconstructive Orthopaedic Surgery Physician provider in Lexington, KY (NPI 1578726873).
Provider details
- NPI number
- 1578726873
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2012003242 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 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
412 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 | 104 | $117 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 80 | $71 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 50 | $167 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 44 | $155 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 36 | $1,191 |
| Computer-Assisted Surgery for Muscle and Bone Procedure |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 164 | 57 |
| Tramadol Hcl | 105 | 69 |
| Gabapentin | 88 | 58 |
| Oxycodone Hcl | 77 | 44 |
| Diclofenac Sodium | 53 | 31 |
| Methylprednisolone | 25 | 23 |
| Celecoxib | 23 | — |
| Doxycycline Hyclate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$172,828 across 80 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
- 2008-07-07
- Last updated
- 2013-10-11
Frequently asked questions
- What is Stephen Duncan's NPI number?
- Stephen Duncan's National Provider Identifier (NPI) is 1578726873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Duncan's specialty?
- Stephen Duncan is listed in the NPPES registry with a primary specialty of Adult Reconstructive Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Duncan located?
- Stephen Duncan's practice location on file with NPPES is 740 S Limestone, Lexington, KY 40536-0001.
- What is Stephen Duncan's phone number?
- The practice phone number listed in the NPPES registry for Stephen Duncan is (859) 323-5533.
- Does Stephen Duncan accept Medicare?
- Stephen Duncan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Duncan's NPI active?
- Yes — Stephen Duncan's NPI (1578726873) is active in the NPPES registry as of the last update on 2013-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.