NPPES file of Aug 9, 2026

Richard W. Duncan, MD

Orthopaedic Surgery of the Spine Physician · Johnson City, TN

Richard W. Duncan, MD is an orthopaedic surgery of the spine physician with a practice address in Johnson City, Tennessee, and NPI 1003871195, issued on Apr 20, 2006. Check the license (Tennessee 25239, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1003871195
Name
Richard W. Duncan
Credential
MD
Primary taxonomy
Orthopaedic Surgery of the Spine Physician 207XS0117X
License number
25239 TN
Self-reported in NPPES; status is on the state search
Practice location
2410 Susannah St, Johnson City, TN 37601
Phone
(423) 282-9011
Enumerated
Apr 20, 2006
Record last updated
Dec 16, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(423) 282-0035
Medicaid ID
3081945 TN
Medicare enrollment
Enrolled (PECOS I20091201000007); accepts Medicare assignment
Medical or professional school
University Of Mississippi School Of Medicine, 1988
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2410 Susannah St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Alan Aiken, DOOrthopaedic Surgery Physician1437565074
  2. Marc Aiken, MDOrthopaedic Surgery Physician1558327395
  3. Ryne Baines, OTR/LOccupational Therapist1730879982
  4. Everett Baker, NURSE PRACTITIONERFamily Nurse Practitioner1154746261
  5. Whitney Belt, PTOrthopedic Physical Therapist1275581316
  6. Mikayla BogulskiPhysician Assistant1013552439

Verify Richard W. Duncan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTennessee Board of Medical Examiners
    Search for license 25239
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Tennessee license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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3.4 times the Medicare Part D claims of the average orthopaedic surgery of the spine physician in 2024

1,278 Medicare Part D claims for 382 beneficiaries, against an average of 381 among the 1,714 providers of this specialty who prescribed in Part D. Brand-name drugs were under 1% of claims. 112 claims were for opioids.

  1. Richard Duncan1,278
  2. Specialty average381

Most prescribed

  1. Meloxicam465 claims
  2. Gabapentin455 claims
  3. Tramadol Hcl101 claims
  4. Alprazolam58 claims
  5. Methylprednisolone48 claims
  6. Pregabalin25 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 64.8 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score44.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%85.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Champion Physical Therapy LLC HallsElizabethton, TN
  2. Watauga Orthopaedics PLCJohnson City, TN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Richard W. Duncan among 46 orthopaedic surgery of the spine physician records in Tennessee

Richard W. Duncan, MD is one of 46 orthopaedic surgery of the spine physician records with a practice address in Tennessee. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 35% of them.

  • NPI issued2006 · 35% of these records are older, 39% newer
  • In a Medicare fileYes · 89% of these records are
  • In the CMS Doctors and Clinicians fileYes · 76% of these records are
  • Graduated1988 · median 2001 among the 35 with a school on file
  • Record last updated2019 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0117X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery of the Spine Physician providers in Tennessee

There are 46 orthopaedic surgery of the spine physician records in Tennessee.

The 8 orthopaedic surgery of the spine physician records with the nearest ZIP codes

  1. Michael Czulinski, DOBristol, TN 376201801240130
  2. Galen Smith, M.D.Kingsport, TN 376601477521417
  3. Graham Albert, MDChattanooga, TN 374211659834083
  4. Paul Broadstone, M.D.Chattanooga, TN 374211740255116
  5. Adam Caputo, MDChattanooga, TN 374211114160678
  6. Richard Pearce, M.D.Chattanooga, TN 374211619942091
  7. Benjamin Geddes, MDChattanooga, TN 374041942629969
  8. James Jolley, M.D.Chattanooga, TN 374041457392433

Common questions

What is Richard W. Duncan, MD's NPI number?

Richard W. Duncan, MD's National Provider Identifier (NPI) is 1003871195, issued on Apr 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Richard W. Duncan, MD located?

The NPPES record lists a practice address at 2410 Susannah St, Johnson City, TN, 37601. Phone: (423) 282-9011. Providers update this record themselves, so call before visiting.

How can I verify Richard W. Duncan, MD's license?

NPPES lists Tennessee license number 25239, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Richard W. Duncan, MD prescribe under Medicare Part D?

In 2024, Richard W. Duncan, MD had 1,278 Medicare Part D claims for 382 beneficiaries; the average among orthopaedic surgery of the spine physician prescribers was 381. Part D covers Medicare prescriptions only.

What is Richard W. Duncan, MD's MIPS final score?

The 2023 MIPS final score is 64.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.