2026 NPPES data Ophthalmology Physician NPI 1235140120 MD
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KRISTEN DUNCAN, MD

Ophthalmology Physician in MEMPHIS, Tennessee. 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
654
Medicare Part D claims · 215 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$275.63
10 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KRISTEN DUNCAN, MD is a Ophthalmology Physician ([object Object]) practicing in MEMPHIS, Tennessee with a Medicare Part D prescribing footprint of 654 claims across 215 beneficiaries — 27% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $275.63 across 10 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KRISTEN DUNCAN, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 654 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)

KRISTEN DUNCAN, 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).

KRISTEN DUNCAN, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/10/2006

NPI 1235140120

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

654 54% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Ophthalmology Physician compares to other specialties among Tennessee providers

Tennessee providers

Ophthalmology Physician share within Tennessee

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Tennessee

Medicare quality performance — MIPS

KRISTEN DUNCAN, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

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

MIPS final score (Ophthalmology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Ophthalmology Physician) — 100/100 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).

KRISTEN DUNCAN, MD is a Ophthalmology Physician provider practicing in MEMPHIS, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1235140120. 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.

KRISTEN DUNCAN, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 6363 POPLAR AVE, MEMPHIS, TN, 38119, with a listed phone of (901) 692-5780. NPI 1235140120 was issued on 08/10/2006. 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 654 prescription claims written by this provider, covering 215 Medicare beneficiaries and totaling roughly $69K in drug spend, split 27% brand-name and 73% 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 100/100 for the 2023 performance year (Quality 100, Cost 100), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

6363 POPLAR AVE
MEMPHIS, TN 38119

Provider Details

NPI 1235140120
Specialty Ophthalmology Physician
Credentials MD
Gender Female
NPI Issued 08/10/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality
100
Cost

Reporting: Group practice

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 KRISTEN DUNCAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$276

Largest payer

Alcon Vision 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 · Above average

KRISTEN DUNCAN, MD — brand share 27.0%
Specialty average (est.)

27% brand-name claims vs 73% generic, on 654 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.

654
Total Claims
$69K
Total Drug Cost
215
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,217
Total Day Supply
34,426
Brand vs Generic
27% brand / 73% generic
Brand Drug Cost
$48K
Generic Drug Cost
$21K
Antibiotic Claims
24

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.05
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
174
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
95
Ofloxacin
88
Ketorolac Tromethamine
64
Prednisolone Acetate
45
Lumigan
Bimatoprost
28
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
27
Travoprost
23
Combigan
Brimonidine Tartrate/Timolol
17
Doxycycline Hyclate
13

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

Ophthalmology Physician Overview

How KRISTEN DUNCAN, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

KRISTEN DUNCAN, MD's 654 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Tennessee

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KRISTEN DUNCAN, MD's specialty?
KRISTEN DUNCAN, MD specializes in Ophthalmology Physician and practices in MEMPHIS, Tennessee. Credentials: MD.
How much does KRISTEN DUNCAN, MD prescribe under Medicare Part D?
In 2023, KRISTEN DUNCAN, MD wrote 654 Medicare Part D claims totaling $69K in drug costs for 215 beneficiaries.
What is KRISTEN DUNCAN, MD's Medicare quality score?
KRISTEN DUNCAN, MD has a CMS MIPS Final Score of 100/100 (Quality: 100, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRISTEN DUNCAN, MD located?
KRISTEN DUNCAN, MD is located at 6363 POPLAR AVE, MEMPHIS, TN, 38119. Phone: (901) 692-5780.
What is KRISTEN DUNCAN, MD's NPI number?
KRISTEN DUNCAN, MD's National Provider Identifier (NPI) is 1235140120, issued on 08/10/2006.
Does KRISTEN DUNCAN, MD prescribe more brand-name or generic drugs?
KRISTEN DUNCAN, MD's prescribing is 27% brand-name and 73% generic drugs by claim count, with $48K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does KRISTEN DUNCAN, MD prescribe most often?
Based on 2023 Medicare Part D data, KRISTEN DUNCAN, MD's most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRISTEN DUNCAN, MD accept Medicare?
KRISTEN DUNCAN, MD appears in CMS Medicare data with 654 Part D claims and 215 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTEN DUNCAN, MD's credentials?
KRISTEN DUNCAN, MD's NPI is 1235140120 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

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