2026 NPPES data Cardiovascular Disease Physician NPI 1265465017 M.D.
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KARL DUNCAN, M.D.

Cardiovascular Disease Physician in LAKE CHARLES, Louisiana. 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
3K
Medicare Part D claims · 422 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.7644/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$1.2K
42 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KARL DUNCAN, M.D. is a Cardiovascular Disease Physician ([object Object]) practicing in LAKE CHARLES, Louisiana with a Medicare Part D prescribing footprint of 3K claims across 422 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 89.7644/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.2K across 42 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KARL DUNCAN, M.D. reported a CMS MIPS final score of 89.7644 out of 100, above the 83.1 national average, and filed 2,980 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KARL DUNCAN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KARL DUNCAN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/07/2006

NPI 1265465017

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

2,980 2% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

89.7644/100 6.6644000000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Louisiana

How Cardiovascular Disease Physician compares to other specialties among Louisiana providers

Louisiana providers

Cardiovascular Disease Physician share within Louisiana

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Louisiana

Medicare quality performance — MIPS

KARL DUNCAN, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
89.7644/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 89.7644/100 vs national avg 83.1

0%100%National avg83%89.8%
MIPS final score (Cardiovascular Disease Physician) — 89.7644/100 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).

KARL DUNCAN, M.D. is a Cardiovascular Disease Physician provider practicing in LAKE CHARLES, Louisiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1265465017. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KARL DUNCAN, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 1717 OAK PARK BLVD FL 2, LAKE CHARLES, LA, 70601, with a listed phone of (337) 494-3278. NPI 1265465017 was issued on 07/07/2006. 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 2,980 prescription claims written by this provider, covering 422 Medicare beneficiaries and totaling roughly $307K in drug spend, split 14% brand-name and 86% generic by claim count. 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 89.7644/100 for the 2023 performance year (Quality 75.5999), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

1717 OAK PARK BLVD FL 2
LAKE CHARLES, LA 70601

Provider Details

NPI 1265465017
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 07/07/2006

CMS Quality Score (MIPS)

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

89.7644
Final Score
Avg: 83.1
75.5999
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KARL DUNCAN, M.D. 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.

LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER
LAKE CHARLES, LA

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KARL DUNCAN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

Philips North America LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

KARL DUNCAN, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 2,980 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.

2,980
Total Claims
$307K
Total Drug Cost
422
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,011
Total Day Supply
148,792
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$271K
Generic Drug Cost
$36K

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.72
Gender Split
57% female / 43% male
Age Distribution
<65: 81, 65-74: 180, 75-84: 125, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
322
Atorvastatin Calcium
267
Furosemide
223
Isosorbide Mononitrate Er
Isosorbide Mononitrate
218
Clopidogrel
Clopidogrel Bisulfate
215
Eliquis
Apixaban
178
Carvedilol
167
Potassium Chloride
167
Losartan Potassium
122
Metoprolol Tartrate
120

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

Cardiovascular Disease Physician Overview

How KARL DUNCAN, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

KARL DUNCAN, M.D.'s 2,980 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Louisiana

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARL DUNCAN, M.D.'s specialty?
KARL DUNCAN, M.D. specializes in Cardiovascular Disease Physician and practices in LAKE CHARLES, Louisiana. Credentials: M.D..
How much does KARL DUNCAN, M.D. prescribe under Medicare Part D?
In 2023, KARL DUNCAN, M.D. wrote 2,980 Medicare Part D claims totaling $307K in drug costs for 422 beneficiaries.
What is KARL DUNCAN, M.D.'s Medicare quality score?
KARL DUNCAN, M.D. has a CMS MIPS Final Score of 89.7644/100 (Quality: 75.5999). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARL DUNCAN, M.D. located?
KARL DUNCAN, M.D. is located at 1717 OAK PARK BLVD FL 2, LAKE CHARLES, LA, 70601. Phone: (337) 494-3278.
What is KARL DUNCAN, M.D.'s NPI number?
KARL DUNCAN, M.D.'s National Provider Identifier (NPI) is 1265465017, issued on 07/07/2006.
Does KARL DUNCAN, M.D. prescribe more brand-name or generic drugs?
KARL DUNCAN, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $271K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does KARL DUNCAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KARL DUNCAN, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARL DUNCAN, M.D. accept Medicare?
KARL DUNCAN, M.D. appears in CMS Medicare data with 2,980 Part D claims and 422 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARL DUNCAN, M.D.'s credentials?
KARL DUNCAN, M.D.'s NPI is 1265465017 with credentials M.D.. 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