2026 NPPES data Physician Assistant NPI 1528449790 MPA, PA-C
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THOMAS DUNCAN, MPA, PA-C

Physician Assistant in NEWPORT NEWS, 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
2K
Medicare Part D claims · 372 beneficiaries · Physician Assistant avg: 790
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.1126/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

THOMAS DUNCAN, MPA, PA-C reported a CMS MIPS final score of 95.1126/100 — above the 83.1 national average — and filed 1,985 Medicare Part D claims in 2023.

95.1126/100
MIPS score · +12 vs avg
2K
Part D claims, 2023
80%
generic prescribing

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.

THOMAS DUNCAN, MPA, PA-C's MIPS score vs every scored U.S. clinician

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

95 Top 21% higher than 79% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 THOMAS DUNCAN, MPA, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 06/14/2015

NPI 1528449790

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

1,985 151% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

95.1126/100 12.012600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Physician Assistant compares to other specialties among Virginia providers

Virginia providers

Physician Assistant share within Virginia

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Virginia

Medicare quality performance — MIPS

THOMAS DUNCAN, MPA, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
95.1126/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 95.1126/100 vs national avg 83.1

0%100%National avg83%95.1%
MIPS final score (Physician Assistant) — 95.1126/100 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).

THOMAS DUNCAN, MPA, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding MPA, PA-C credentials at 11803 JEFFERSON AVE STE 205, NEWPORT NEWS, VA, 23606, with a listed phone of (757) 736-9860. NPI 1528449790 was issued on 06/14/2015. 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 1,985 prescription claims written by this provider, covering 372 Medicare beneficiaries and totaling roughly $328K in drug spend, split 20% brand-name and 80% generic by claim count. 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 95.1126/100 for the 2023 performance year (Quality 86.3184), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

11803 JEFFERSON AVE STE 205
NEWPORT NEWS, VA 23606

Provider Details

NPI 1528449790
Specialty Physician Assistant
Credentials MPA, PA-C
Gender Male
NPI Issued 06/14/2015

CMS Quality Score (MIPS)

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

95.1126
Final Score
Avg: 83.1
86.3184
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where THOMAS DUNCAN, MPA, PA-C 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.

SENTARA MEDICAL GROUP
VIRGINIA BEACH, 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).

Brand vs generic prescribing mix · Typical

THOMAS DUNCAN, MPA, PA-C — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 1,985 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

1,985
Total Claims
$328K
Total Drug Cost
372
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,412
Total Day Supply
131,593
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$300K
Generic Drug Cost
$28K

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.89
Gender Split
50% female / 50% male
Age Distribution
<65: 47, 65-74: 158, 75-84: 114, 85+: 53

Top Prescribed Drugs (Medicare Part D)

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

What THOMAS DUNCAN, MPA, PA-C 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
Metoprolol Succinate
194
Eliquis
Apixaban
169
Carvedilol
165
Furosemide
127
Atorvastatin Calcium
122
Isosorbide Mononitrate Er
Isosorbide Mononitrate
110
Metoprolol Tartrate
97
Amlodipine Besylate
93
Losartan Potassium
88
Spironolactone
77

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

Physician Assistant Overview

How THOMAS DUNCAN, MPA, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

THOMAS DUNCAN, MPA, PA-C's 1,985 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Virginia

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

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS DUNCAN, MPA, PA-C's specialty?
THOMAS DUNCAN, MPA, PA-C specializes in Physician Assistant and practices in NEWPORT NEWS, Virginia. Credentials: MPA, PA-C.
How much does THOMAS DUNCAN, MPA, PA-C prescribe under Medicare Part D?
In 2023, THOMAS DUNCAN, MPA, PA-C wrote 1,985 Medicare Part D claims totaling $328K in drug costs for 372 beneficiaries.
What is THOMAS DUNCAN, MPA, PA-C's Medicare quality score?
THOMAS DUNCAN, MPA, PA-C has a CMS MIPS Final Score of 95.1126/100 (Quality: 86.3184). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS DUNCAN, MPA, PA-C located?
THOMAS DUNCAN, MPA, PA-C is located at 11803 JEFFERSON AVE STE 205, NEWPORT NEWS, VA, 23606. Phone: (757) 736-9860.
What is THOMAS DUNCAN, MPA, PA-C's NPI number?
THOMAS DUNCAN, MPA, PA-C's National Provider Identifier (NPI) is 1528449790, issued on 06/14/2015.
Does THOMAS DUNCAN, MPA, PA-C prescribe more brand-name or generic drugs?
THOMAS DUNCAN, MPA, PA-C's prescribing is 20% brand-name and 80% generic drugs by claim count, with $300K in brand drug costs.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does THOMAS DUNCAN, MPA, PA-C prescribe most often?
Based on 2023 Medicare Part D data, THOMAS DUNCAN, MPA, PA-C's most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS DUNCAN, MPA, PA-C accept Medicare?
THOMAS DUNCAN, MPA, PA-C appears in CMS Medicare data with 1,985 Part D claims and 372 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS DUNCAN, MPA, PA-C's credentials?
THOMAS DUNCAN, MPA, PA-C's NPI is 1528449790 with credentials MPA, PA-C. 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