DR. JAMES ROBERT DUNCAN (MD) – Dermatology Physician, NPI 1922460500

DR. JAMES ROBERT DUNCAN (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 35.141305 (OH). The NPI Number for DR. JAMES ROBERT DUNCAN (MD) is 1922460500

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES ROBERT DUNCAN (MD)
NPI
1922460500
Phone
(205) 934-5188
Address
EYE FOUNDATION HOSPITAL 414
Enumeration Date
23 March 2016
Last Update Date
19 December 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
6901196419
Group Practice PAC ID
7214086115
Professional Enrollment ID
I20210806001289
Address ID
OH430262496Hi3853XCTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

607 DERMATOLOGY in OH

Provider Addresses for DR. JAMES ROBERT DUNCAN (MD)

  • EYE FOUNDATION HOSPITAL 414

    1720 2ND AVENUE SOUTH

    BIRMINGHAM, AL 352940009

    Phone: (205) 934-5188

    Fax: (205) 934-5766

    Type: Mailing

  • 25 HIDDEN RAVINES DR

    POWELL, OH 430659883

    Phone: (614) 777-1200

    Fax: (614) 777-1294

    Type: Mailing

  • Riverside Methodist Hospital, 3535, Olentangy River Road, Olentangy West, Columbus, Sharon, Franklin, Ohio, 43214, United States

    COLUMBUS, OH 432143908

    Phone: (614) 566-2426

    Fax: (614) 566-1073

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 189 Open Payments records for all available years, with a total value of $2,934.

Total Amount is formed as General ($2,934) + Research ($0) + Ownership ($0) = $2,934.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($654).

Total Amount

$2,934

General + Research + Ownership

Payments

189

Total payment records

General Amount

$2,934

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210806001289IDermatologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks167146$0
17003Destruction of precancer skin growth, 2-14 growths16030$0
12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm127106$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm9489$0
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks6859$0
View full utilization report →

Insurance plans in this area (ZIP 35294)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214086115View full group profile
NameSpecialtyState
D E R M A T O L O G YOH
D E R M A T O L O G YFL
D E R M A T O L O G YOH
D E R M A T O L O G YOH
Physician AssistantOH
Physician AssistantOH
D E R M A T O L O G YOH

Reviews

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Frequently asked questions

How do payers reference DR. JAMES ROBERT DUNCAN (MD)?
For DR. JAMES ROBERT DUNCAN (MD), use NPI 1922460500 as the unique 10-digit identifier.
Active or inactive — what applies to DR. JAMES ROBERT DUNCAN (MD)?
You should see DR. JAMES ROBERT DUNCAN (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. JAMES ROBERT DUNCAN (MD)?
At a glance, DR. JAMES ROBERT DUNCAN (MD) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JAMES ROBERT DUNCAN (MD)?
Travel planning: use Birmingham, Alabama as the reference point for DR. JAMES ROBERT DUNCAN (MD), then confirm.
Does DR. JAMES ROBERT DUNCAN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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