NPI registry status
Active
2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1003871195 MD
Verify on CMS → Richard Duncan, MD
Orthopaedic Surgery of the Spine Physician in Johnson City, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,773 in Orthopaedic Surgery of the Spine 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
1K
Medicare Part D claims · 337 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
64.8/100
▼ 18 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Richard Duncan, MD reported a CMS MIPS final score of 64.8/100 - below the 83.1 national average - and filed 1,128 Medicare Part D claims in 2023.
- 64.8/100
- MIPS score · -18 vs avg
- 1K
- 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.
Richard Duncan, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
65 6th percentile higher than 6% 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 Richard Duncan, MD sits
This provider among orthopaedic surgery of the spine physician peers
Across the 649 orthopaedic surgery of the spine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Duncan, MD writes more Part D claims than 92% of them and scores higher on MIPS quality than 15% - placing this provider in the high-volume, lower-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 orthopaedic surgery of the spine physician peer from a representative sample of 60; the gold marker is Richard Duncan, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Richard Duncan, MD 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).
What does the federal data show about Richard Duncan, MD?
Below national averagePrimary specialty
Orthopaedic Surgery of the Spine Physician
Medicare Part D claims
1,128 212% vs specialty avg
MIPS final score
64.8/100 18.3 pts vs avg
Specialty distribution in Tennessee
How Orthopaedic Surgery of the Spine Physician compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Richard Duncan, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average
- MIPS Final Score
- 64.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Orthopaedic Surgery of the Spine Physician) - 64.8/100 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).
Richard Duncan, MD appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MD credentials at 2410 SUSANNAH ST, Johnson City, TN, 37601, with a listed phone of (423) 282-9011. NPI 1003871195 was issued on 04/20/2006.
Medicare Part D records for calendar year 2023 show 1,128 prescription claims written by this provider, covering 337 Medicare beneficiaries and totaling roughly $8K in drug spend, with an opioid prescribing rate of 8.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 64.8/100 for the 2023 performance year (Quality 44.2), compared with the national average of 83.1.
Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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 | 1003871195 |
|---|---|
| Specialty | Orthopaedic Surgery of the Spine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/20/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
64.8327
Final Score
Avg: 83.1
44.2413
Quality
85
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Richard Duncan, MD 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.
Watauga Orthopaedics PLC
Johnson City, TN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,128
Total Claims
$8K
Total Drug Cost
337
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,303
- Total Day Supply
- 33,331
- Generic Drug Cost
- $7K
- Opioid Claims
- 93 (8.2% rate)
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 1.12
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 46, 65-74: 151, 75-84: 120, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Richard Duncan, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Meloxicam
Meloxicam
475 claims
- Gabapentin
Gabapentin
337 claims
- Tramadol Hcl 79
Tramadol Hcl
79 claims
- Alprazolam 59
Alprazolam
59 claims
- Methylprednisolone 42
Methylprednisolone
42 claims
- Tizanidine Hcl 33
Tizanidine Hcl
33 claims
- Cyclobenzaprine Hcl 27
Cyclobenzaprine Hcl
27 claims
- Celecoxib 25
Celecoxib
25 claims
| Drug | Claims |
|---|---|
| Meloxicam | 475 |
| Gabapentin | 337 |
| Tramadol Hcl | 79 |
| Alprazolam | 59 |
| Methylprednisolone | 42 |
| Tizanidine Hcl | 33 |
| Cyclobenzaprine Hcl | 27 |
| Celecoxib | 25 |
| Methocarbamol | 12 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Orthopaedic Surgery of the Spine Physician in TN →
All providers in Tennessee →
Compare specialties →
Orthopaedic Surgery of the Spine Physician Overview
How Richard Duncan, MD fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.
1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider
Richard Duncan, MD's 1,128 claims are above the specialty average of 362.
Nearby Orthopaedic Surgery of the Spine Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Duncan.
Dr. Lawrence Babat
MD
Nashville, TN
Dr. Paul Broadstone
M.D.
Chattanooga, TN
Dr. Daniel Burrus
MD
Nashville, TN
Dr. Francis Camillo
M.D.
Memphis, TN
Dr. Adam Caputo
MD
Chattanooga, TN
Compare Orthopaedic Surgery of the Spine 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 Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Surgery of the Spine 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.
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Frequently Asked Questions
What is Richard Duncan, MD's specialty? ▼
Richard Duncan, MD specializes in Orthopaedic Surgery of the Spine Physician and practices in Johnson City, Tennessee. Credentials: MD.
How much does Richard Duncan, MD prescribe under Medicare Part D? ▼
In 2023, Richard Duncan, MD wrote 1,128 Medicare Part D claims totaling $8K in drug costs for 337 beneficiaries.
What is Richard Duncan, MD's Medicare quality score? ▼
Richard Duncan, MD has a CMS MIPS Final Score of 64.8/100 (Quality: 44.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Duncan, MD located? ▼
Richard Duncan, MD is located at 2410 SUSANNAH ST, Johnson City, TN, 37601. Phone: (423) 282-9011.
What is Richard Duncan, MD's NPI number? ▼
Richard Duncan, MD's National Provider Identifier (NPI) is 1003871195, issued on 04/20/2006.
Does Richard Duncan, MD prescribe opioids? ▼
Yes, Richard Duncan, MD had 93 opioid claims in 2023 with an opioid prescribing rate of 8.2%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US? ▼
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does Richard Duncan, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Richard Duncan, MD's most frequently prescribed drugs include Meloxicam, Gabapentin, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Duncan, MD accept Medicare? ▼
Richard Duncan, MD appears in CMS Medicare data with 1,128 Part D claims and 337 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Duncan, MD's credentials? ▼
Richard Duncan, MD's NPI is 1003871195 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.