2026 NPPES data Family Nurse Practitioner NPI 1699295105 NP
Verify on CMS →

JAMES DUNCAN, NP

Family Nurse Practitioner in CARTERSVILLE, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
5K
Medicare Part D claims · 256 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.1056/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

JAMES DUNCAN, NP reported a CMS MIPS final score of 98.1056/100 — above the 83.1 national average — and filed 5,458 Medicare Part D claims in 2023.

98.1056/100
MIPS score · +15 vs avg
5K
Part D claims, 2023
85%
generic prescribing

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.

JAMES DUNCAN, NP'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 11% higher than 89% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about JAMES DUNCAN, NP?

High performer (top quartile)

NPI registry status

Active

Issued 06/26/2017

NPI 1699295105

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

5,458 347% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

98.1056/100 15.005600000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Family Nurse Practitioner compares to other specialties among Georgia providers

Georgia providers

Family Nurse Practitioner share within Georgia

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Georgia

Medicare quality performance — MIPS

JAMES DUNCAN, NP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
98.1056/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 98.1056/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Family Nurse Practitioner) — 98.1056/100 vs national avg 83.1

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).

JAMES DUNCAN, NP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding NP credentials at 1328 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA, 30120, with a listed phone of (770) 387-0730. NPI 1699295105 was issued on 06/26/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DUNCAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 5,458 prescription claims written by this provider, covering 256 Medicare beneficiaries and totaling roughly $701K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 1.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.1056/100 for the 2023 performance year, compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

1328 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120

Provider Details

NPI 1699295105
Specialty Family Nurse Practitioner
Credentials NP
Gender Male
NPI Issued 06/26/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

98.1056
Final Score
Avg: 83.1
96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES DUNCAN, NP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

FLOYD HEALTHCARE MANAGEMENT INC
CALHOUN, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

JAMES DUNCAN, NP — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 5,458 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

5,458
Total Claims
$701K
Total Drug Cost
256
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,965
Total Day Supply
315,468
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$607K
Generic Drug Cost
$91K
Opioid Claims
77 (1.4% rate)
Antibiotic Claims
117

Patient Demographics

Average Patient Age
66.9 years
Avg HCC Risk Score
1.48
Gender Split
55% female / 45% male
Age Distribution
<65: 78, 65-74: 117, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JAMES DUNCAN, NP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
241
Gabapentin
214
Albuterol Sulfate Hfa
Albuterol Sulfate
198
Lisinopril
196
Amlodipine Besylate
177
Pantoprazole Sodium
141
Metformin Hcl
122
Sertraline Hcl
100
Levothyroxine Sodium
98
Fluticasone Propionate
90

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Nurse Practitioner Overview

How JAMES DUNCAN, NP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

JAMES DUNCAN, NP's 5,458 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as DUNCAN.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES DUNCAN, NP's specialty?
JAMES DUNCAN, NP specializes in Family Nurse Practitioner and practices in CARTERSVILLE, Georgia. Credentials: NP.
How much does JAMES DUNCAN, NP prescribe under Medicare Part D?
In 2023, JAMES DUNCAN, NP wrote 5,458 Medicare Part D claims totaling $701K in drug costs for 256 beneficiaries.
What is JAMES DUNCAN, NP's Medicare quality score?
JAMES DUNCAN, NP has a CMS MIPS Final Score of 98.1056/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES DUNCAN, NP located?
JAMES DUNCAN, NP is located at 1328 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA, 30120. Phone: (770) 387-0730.
What is JAMES DUNCAN, NP's NPI number?
JAMES DUNCAN, NP's National Provider Identifier (NPI) is 1699295105, issued on 06/26/2017.
Does JAMES DUNCAN, NP prescribe more brand-name or generic drugs?
JAMES DUNCAN, NP's prescribing is 15% brand-name and 85% generic drugs by claim count, with $607K in brand drug costs.
Does JAMES DUNCAN, NP prescribe opioids?
Yes, JAMES DUNCAN, NP had 77 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does JAMES DUNCAN, NP prescribe most often?
Based on 2023 Medicare Part D data, JAMES DUNCAN, NP's most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES DUNCAN, NP accept Medicare?
JAMES DUNCAN, NP appears in CMS Medicare data with 5,458 Part D claims and 256 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES DUNCAN, NP's credentials?
JAMES DUNCAN, NP's NPI is 1699295105 with credentials NP. 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

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