NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1235765108
Verify on CMS → Timothy Duncan
Student in an Organized Health Care Education/Training Program in Vernal, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 331,274 in Student in an Organized Health Care Education/Training Program, 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
167
Medicare Part D claims · 99 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
MIPS score
78.7/100
▼ 5 pts below national avg 83.5 · Above neutral
What the federal data shows
Timothy Duncan reported a CMS MIPS final score of 78.7/100 - below the 83.5 national average - and filed 167 Medicare Part D claims in 2023.
- 78.7/100
- MIPS score · -5 vs avg
- 167
- Part D claims, 2023
- ≥23rd
- pct among measured MIPS (lower-bound band)
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.
Timothy Duncan's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
79 ≥ 23rd percentile 23% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Timothy Duncan sits
This provider among student in an organized health care education/training program peers
Across the 12,177 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Timothy Duncan writes more Part D claims than 39% of them and scores higher on MIPS quality than 21% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Timothy Duncan. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Timothy Duncan?
Near national averagePrimary specialty
Student in an Organized Health Care Education/Training Program
Medicare Part D claims
167 64% vs specialty avg
MIPS final score
78.7/100 4.8 pts vs avg
Specialty distribution in Utah
How Student in an Organized Health Care Education/Training Program compares to other specialties among Utah providers
Medicare quality performance, MIPS
Timothy Duncan's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average
- MIPS Final Score
- 78.7/100
- vs 83.5 national avg · 2023 performance year
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).
Timothy Duncan appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider at 405 N 500 W, Vernal, UT, 84078, with a listed phone of (435) 789-4691. NPI 1235765108 was issued on 03/22/2020.
Medicare Part D records for calendar year 2023 show 167 prescription claims written by this provider, covering 99 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 11.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.7/100 for the 2023 performance year (Quality 74.9), compared with the 83.5 average among clinicians with a measured score.
Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,274 enrolled providers across 55 states and an average of 459 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 | 1235765108 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Gender | Male |
| NPI Issued | 03/22/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.652
Final Score
Measured-score avg: 83.5
74.8847
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Timothy Duncan 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.
Uintah Basin Medical Center
★★☆☆☆ 2/5
Roosevelt, UT
Acute Care Hospitals
CMS CCN: 460019
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.
167
Total Claims
$7K
Total Drug Cost
99
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 168
- Total Day Supply
- 2,088
- Generic Drug Cost
- $1K
- Opioid Claims
- 19 (11.4% rate)
- Antibiotic Claims
- 60
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 60% female / 40% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Timothy Duncan prescribes most
Top Medicare Part D drugs by claim count, 2023
- Doxycycline Hyclate
Doxycycline Hyclate
15 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
14 claims
- Prednisone
Prednisone
14 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
11 claims
| Drug | Claims |
|---|---|
| Doxycycline Hyclate | 15 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 14 |
| Prednisone | 14 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Student in an Organized Health Care Education/Training Program in UT →
All providers in Utah →
Compare specialties →
Student in an Organized Health Care Education/Training Program Overview
How Timothy Duncan fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
331,274
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider
Timothy Duncan's 167 claims are below the specialty average of 459.
Nearby Student in an Organized Health Care Education/Training Program Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Duncan.
One of 3,248 Student in an Organized Health Care Education/Training Program providers enrolled in Utah, 5 are shown here.
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 Utah medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program 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 Timothy Duncan's specialty? ▼
Timothy Duncan specializes in Student in an Organized Health Care Education/Training Program and practices in Vernal, Utah.
How much does Timothy Duncan prescribe under Medicare Part D? ▼
In 2023, Timothy Duncan wrote 167 Medicare Part D claims totaling $7K in drug costs for 99 beneficiaries.
What is Timothy Duncan's Medicare quality score? ▼
Timothy Duncan has a CMS MIPS Final Score of 78.7/100 (Quality: 74.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Timothy Duncan located? ▼
Timothy Duncan is located at 405 N 500 W, Vernal, UT, 84078. Phone: (435) 789-4691.
What is Timothy Duncan's NPI number? ▼
Timothy Duncan's National Provider Identifier (NPI) is 1235765108, issued on 03/22/2020.
Does Timothy Duncan prescribe opioids? ▼
Yes, Timothy Duncan had 19 opioid claims in 2023 with an opioid prescribing rate of 11.4%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 331,274 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Timothy Duncan prescribe most often? ▼
Based on 2023 Medicare Part D data, Timothy Duncan's most frequently prescribed drugs include Doxycycline Hyclate, Hydrocodone-Acetaminophen, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Timothy Duncan accept Medicare? ▼
Timothy Duncan appears in CMS Medicare data with 167 Part D claims and 99 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Timothy Duncan's credentials? ▼
Timothy Duncan's NPI is 1235765108. 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.