NPI registry status
Active
2026 NPPES data Pediatric Urology Physician NPI 1649238593 MD
Verify on CMS → Duncan Wilcox, MD
Pediatric Urology Physician in Aurora, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 348 in Pediatric Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
13
Medicare Part D claims · Pediatric Urology Physician avg: 654
MIPS score
97.6/100
▲ 14 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Duncan Wilcox, MD reported a CMS MIPS final score of 97.6/100 - above the 83.1 national average - and filed 13 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +14 vs avg
- 13
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Duncan Wilcox, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 15% higher than 85% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Duncan Wilcox, MD sits
This provider among pediatric urology physician peers
Across the 26 pediatric urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Duncan Wilcox, MD writes more Part D claims than 0% of them and scores higher on MIPS quality than 73% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatric urology physician peer from a representative sample of 25; the gold marker is Duncan Wilcox, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Duncan Wilcox, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Duncan Wilcox, MD?
High performer (top quartile)Primary specialty
Pediatric Urology Physician
Medicare Part D claims
13 98% vs specialty avg
MIPS final score
97.6/100 14.5 pts vs avg
Specialty distribution in Colorado
How Pediatric Urology Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Duncan Wilcox, MD's 2023 MIPS final score plotted against the Pediatric Urology Physician national average
- MIPS Final Score
- 97.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Urology Physician) - 97.6/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Duncan Wilcox, MD appears in the CMS NPPES registry as a Pediatric Urology Physician provider holding MD credentials at 13123 E 16TH AVE, Aurora, CO, 80045, with a listed phone of (720) 777-1234. NPI 1649238593 was issued on 05/02/2006.
Medicare Part D records for calendar year 2023 show 13 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $864 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.6/100 for the 2023 performance year (Quality 86.5), compared with the national average of 83.1.
Pediatric Urology Physician is a narrow specialty nationwide, with 348 enrolled providers across 43 states and an average of 654 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1649238593 |
|---|---|
| Specialty | Pediatric Urology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/02/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
13
Total Claims
$864
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 13
- Total Day Supply
- 351
- Brand Drug Cost
- $0
- Generic Drug Cost
- $864
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 26.5 years
- Avg HCC Risk Score
- 1.10
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Gentamicin Sulfate | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Urology Physician Overview
How Duncan Wilcox, MD fits within the Pediatric Urology Physician landscape nationally.
348
Pediatric Urology Physician Providers in US
43
States with Pediatric Urology Physician
654
Avg Claims per Provider
Duncan Wilcox, MD's 13 claims are below the specialty average of 654.
Nearby Pediatric Urology Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Wilcox.
Dr. Bruce Blyth
M.D.
Denver, CO
Dr. Brian Caldwell
M.D.
Aurora, CO
Dr. Jeffrey Campbell
MD
Aurora, CO
Dr. Job Chacko
MD
Denver, CO
Dr. Peter Furness
MD
Denver, CO
Compare Pediatric Urology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Urology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Duncan Wilcox, MD's specialty? ▼
Duncan Wilcox, MD specializes in Pediatric Urology Physician and practices in Aurora, Colorado. Credentials: MD.
How much does Duncan Wilcox, MD prescribe under Medicare Part D? ▼
In 2023, Duncan Wilcox, MD wrote 13 Medicare Part D claims totaling $864 in drug costs for N/A beneficiaries.
What is Duncan Wilcox, MD's Medicare quality score? ▼
Duncan Wilcox, MD has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Duncan Wilcox, MD located? ▼
Duncan Wilcox, MD is located at 13123 E 16TH AVE, Aurora, CO, 80045. Phone: (720) 777-1234.
What is Duncan Wilcox, MD's NPI number? ▼
Duncan Wilcox, MD's National Provider Identifier (NPI) is 1649238593, issued on 05/02/2006.
How many Pediatric Urology Physician providers are there in the US? ▼
There are 348 Pediatric Urology Physician providers across 43 states in the US. The average Pediatric Urology Physician provider writes 654 Medicare Part D claims per year.
What drugs does Duncan Wilcox, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Duncan Wilcox, MD's most frequently prescribed drugs include Gentamicin Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Duncan Wilcox, MD accept Medicare? ▼
Duncan Wilcox, MD appears in CMS Medicare data with 13 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Duncan Wilcox, MD's credentials? ▼
Duncan Wilcox, MD's NPI is 1649238593 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.