2026 NPPES data Specialist NPI 1215067509 M.D.
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PHILLIP DUNCAN, M.D.

Specialist in CHESTER, Virginia. 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
1K
Medicare Part D claims · 194 beneficiaries · Specialist avg: 1K
MIPS score
76.2306/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$159.95
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PHILLIP DUNCAN, M.D. reported a CMS MIPS final score of 76.2306/100 — below the 83.1 national average — and filed 1,491 Medicare Part D claims in 2023.

76.2306/100
MIPS score · -7 vs avg
1K
Part D claims, 2023
$159.95
industry payments (Sunshine Act)

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.

PHILLIP DUNCAN, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

76 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 PHILLIP DUNCAN, M.D.?

Below national average

NPI registry status

Active

Issued 03/06/2007

NPI 1215067509

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,491 1% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

76.2306/100 6.869399999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Specialist compares to other specialties among Virginia providers

Virginia providers

Specialist share within Virginia

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Virginia

Medicare quality performance — MIPS

PHILLIP DUNCAN, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
76.2306/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 76.2306/100 vs national avg 83.1

0%100%National avg83%76.2%
MIPS final score (Specialist) — 76.2306/100 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).

PHILLIP DUNCAN, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 281 E HUNDRED RD, CHESTER, VA, 23836, with a listed phone of (804) 530-5178. NPI 1215067509 was issued on 03/06/2007. 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 1,491 prescription claims written by this provider, covering 194 Medicare beneficiaries and totaling roughly $249K in drug spend. 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 76.2306/100 for the 2023 performance year (Quality 64.5816, Cost 56.1869), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

281 E HUNDRED RD
CHESTER, VA 23836

Provider Details

NPI 1215067509
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 03/06/2007

CMS Quality Score (MIPS)

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

76.2306
Final Score
Avg: 83.1
64.5816
Quality
56.1869
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PHILLIP 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.

MCV ASSOCIATED PHYSICIANS
RICHMOND, VA

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 PHILLIP DUNCAN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$160

Largest payer

Amgen Inc.

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.

Medicare Part D Prescribing Data

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

1,491
Total Claims
$249K
Total Drug Cost
194
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,663
Total Day Supply
109,042
Generic Drug Cost
$54K

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.65
Gender Split
58% female / 42% male
Age Distribution
<65: 22, 65-74: 86, 75-84: 64, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What PHILLIP DUNCAN, M.D. 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
Amlodipine Besylate
150
Carvedilol
134
Metoprolol Succinate
61
Rosuvastatin Calcium
61
Jardiance
Empagliflozin
58
Eliquis
Apixaban
49
Spironolactone
49
Atorvastatin Calcium
44
Spironolactone-Hctz
Spironolact/Hydrochlorothiazid
41
Potassium Chloride
39

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

Specialist Overview

How PHILLIP DUNCAN, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

PHILLIP DUNCAN, M.D.'s 1,491 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Virginia

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is PHILLIP DUNCAN, M.D.'s specialty?
PHILLIP DUNCAN, M.D. specializes in Specialist and practices in CHESTER, Virginia. Credentials: M.D..
How much does PHILLIP DUNCAN, M.D. prescribe under Medicare Part D?
In 2023, PHILLIP DUNCAN, M.D. wrote 1,491 Medicare Part D claims totaling $249K in drug costs for 194 beneficiaries.
What is PHILLIP DUNCAN, M.D.'s Medicare quality score?
PHILLIP DUNCAN, M.D. has a CMS MIPS Final Score of 76.2306/100 (Quality: 64.5816, Cost: 56.1869). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PHILLIP DUNCAN, M.D. located?
PHILLIP DUNCAN, M.D. is located at 281 E HUNDRED RD, CHESTER, VA, 23836. Phone: (804) 530-5178.
What is PHILLIP DUNCAN, M.D.'s NPI number?
PHILLIP DUNCAN, M.D.'s National Provider Identifier (NPI) is 1215067509, issued on 03/06/2007.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does PHILLIP DUNCAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PHILLIP DUNCAN, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Carvedilol, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PHILLIP DUNCAN, M.D. accept Medicare?
PHILLIP DUNCAN, M.D. appears in CMS Medicare data with 1,491 Part D claims and 194 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PHILLIP DUNCAN, M.D.'s credentials?
PHILLIP DUNCAN, M.D.'s NPI is 1215067509 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