Stephen Thomas Duncan, MD
Adult Reconstructive Orthopaedic Surgery Physician · Lexington, KY
Stephen Thomas Duncan, MD is an adult reconstructive orthopaedic surgery physician with a practice address in Lexington, Kentucky, and NPI 1578726873, issued on Jul 7, 2008. Check the license (Kentucky 46402, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Stephen Thomas Duncan
- Credential
- MD
- Primary taxonomy
- Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
- License numbers
- 46402 KY
2012003242 MO
Self-reported in NPPES; status is on the state search - Practice location
- 740 S Limestone, Lexington, KY 40536
- Phone
- (859) 323-5533
- Enumerated
- Jul 7, 2008
- Record last updated
- Oct 11, 2013 (not updated in 13 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20131226000723); accepts Medicare assignment
- Medical or professional school
- Vanderbilt University School Of Medicine, 2007
- Entity
- Type 1 · individual
Also registered at 740 S Limestone
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Stephen Thomas Duncan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 46402Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
30% more Medicare Part D claims than the average adult reconstructive orthopaedic surgery physician in 2024
752 Medicare Part D claims for 206 beneficiaries, against an average of 579 among the 1,112 providers of this specialty who prescribed in Part D. Brand-name drugs were 3% of claims. 197 claims were for opioids.
Most prescribed
- Meloxicam164 claims
- Tramadol Hcl105 claims
- Gabapentin88 claims
- Oxycodone Hcl77 claims
- Diclofenac Sodium53 claims
- Methylprednisolone25 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 practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $172,827.57
80 payments; by number, the most common kind was food and beverage; the largest payer was Smith+Nephew, Inc. The 1,060 providers of this specialty with any payment received $68,015.27 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 3 group practices
- Kentucky Medical Services Foundation, IncLexington, KY
- Premier Therapy And Health Centers IncGrayson, KY
- Proactive Therapy, IncFrankfort, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Adult Reconstructive Orthopaedic Surgery Physician providers in Kentucky
There are 8 adult reconstructive orthopaedic surgery physician records in Kentucky.
Other adult reconstructive orthopaedic surgery physician records in Kentucky
- James BakerLouisville, KY1346603321
- Samrath Bhimani, M.D.Louisville, KY1174056238
- Saul Fredrickson, MDEdgewood, KY1235794967
- Jeffrey Parr, M.D.Lexington, KY1790974061
- Scott Scutchfield, MDLexington, KY1669572145
- Prodromos Ververeli, M.D.Taylorsville, KY1508862806
- David Waespe, MDGeorgetown, KY1790915239
Common questions
What is Stephen Thomas Duncan, MD's NPI number?
Stephen Thomas Duncan, MD's National Provider Identifier (NPI) is 1578726873, issued on Jul 7, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Stephen Thomas Duncan, MD located?
The NPPES record lists a practice address at 740 S Limestone, Lexington, KY, 40536. Phone: (859) 323-5533. Providers update this record themselves, so call before visiting.
How can I verify Stephen Thomas Duncan, MD's license?
NPPES lists Kentucky license number 46402, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Stephen Thomas Duncan, MD prescribe under Medicare Part D?
In 2024, Stephen Thomas Duncan, MD had 752 Medicare Part D claims for 206 beneficiaries; the average among adult reconstructive orthopaedic surgery physician prescribers was 579. Part D covers Medicare prescriptions only.
What is Stephen Thomas Duncan, MD's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. 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.