Suzanna Duncan, NP-C
NPI 1861852139 · Family Nurse Practitioner · Gallipolis, OH
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Suzanna Duncan, NP-C is a Family Nurse Practitioner provider in Gallipolis, OH (NPI 1861852139).
Provider details
- NPI number
- 1861852139
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- COA.18711-NP (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 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
458 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 | 198 | $79 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 168 | $13 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 47 | $28 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 45 | $54 |
Typical Medicare-allowed amounts for these services range $13–$79 (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 · 66 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 205 | 57 |
| Tirzepatidebrand: Mounjaro | 176 | 34 |
| Glimepiride | 148 | 43 |
| Levothyroxine Sodium | 120 | 39 |
| Metformin Hclbrand: Metformin Hcl Er | 118 | 37 |
| Semaglutidebrand: Ozempic | 116 | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$21,127 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
- 2016-03-01
- Last updated
- 2021-01-21
- Certified
- 2021-01-21
Frequently asked questions
- What is Suzanna Duncan's NPI number?
- Suzanna Duncan's National Provider Identifier (NPI) is 1861852139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Suzanna Duncan's specialty?
- Suzanna Duncan is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Suzanna Duncan located?
- Suzanna Duncan's practice location on file with NPPES is 100 Jackson Pike, Gallipolis, OH 45631-1560.
- What is Suzanna Duncan's phone number?
- The practice phone number listed in the NPPES registry for Suzanna Duncan is (855) 446-5937.
- Does Suzanna Duncan accept Medicare?
- Suzanna Duncan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Suzanna Duncan's NPI active?
- Yes — Suzanna Duncan's NPI (1861852139) is active in the NPPES registry as of the last update on 2021-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.