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. 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 · 337 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
64.8327/100
▼ 18 pts below national avg 83.1 · [object Object]
What the federal data reveals: RICHARD DUNCAN, MD is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in JOHNSON CITY, Tennessee with a Medicare Part D prescribing footprint of 1K claims across 337 beneficiaries . Their CMS MIPS Final Score of 64.8327/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RICHARD DUNCAN, MD reported a CMS MIPS final score of 64.8327 out of 100, below the 83.1 national average, and filed 1,128 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)

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).

RICHARD DUNCAN, MD at a glance

Below national average

NPI registry status

Active

Issued 04/20/2006

NPI 1003871195

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

1,128 212% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

64.8327/100 18.26729999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Tennessee

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Tennessee providers

Tennessee providers

Orthopaedic Surgery of the Spine Physician share within Tennessee

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Tennessee

Medicare quality performance — MIPS

RICHARD DUNCAN, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

Below national average
MIPS Final Score
64.8327/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 64.8327/100 vs national avg 83.1

0%100%National avg83%64.8%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 64.8327/100 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).

RICHARD DUNCAN, MD is a Orthopaedic Surgery of the Spine Physician provider practicing in JOHNSON CITY, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1003871195. 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.

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. 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 1,128 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%. 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 64.8327/100 for the 2023 performance year (Quality 44.2413), 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

2410 SUSANNAH ST
JOHNSON CITY, TN 37601

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.

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.

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.

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

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 64.8327/100 (Quality: 44.2413). 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

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