DR. STEPHEN THOMAS DUNCAN (MD) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1578726873
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
507 ORTHOPEDIC SURGERY in KY
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Provider Addresses for DR. STEPHEN THOMAS DUNCAN (MD)
740, South Limestone, North Elizabeth Street, Lexington, Fayette County, Kentucky, 40508, United States
SUITE K408
LEXINGTON, KY 405360001
Phone: (859) 323-5533
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 149 Open Payments records for all available years, with a total value of $295,814.
Total Amount is formed as General ($295,814) + Research ($0) + Ownership ($0) = $295,814.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Smith+Nephew, Inc. ($287,686).
Total Amount
$295,814
General + Research + Ownership
Payments
149
Total payment records
General Amount
$295,814
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $287,686 |
| Bone Support Inc. | $4,837 |
| ORTHALIGN INC | $1,342 |
| ENCORE MEDICAL, LP | $746 |
| Stryker Corporation | $503 |
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: 2013-12-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131226000723 | I | Orthopedic Surgery | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 640 | 45 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 92 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 63 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 36 | $0 |
Insurance plans in this area (ZIP 40536)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KY | |
| A N E S T H E S I O L O G Y | FL | |
| Pediatric Medicine | KY | |
| Internal Medicine | KY | |
| H O S P I T A L I S T | OH | |
| Critical Care (Intensivists), Pulmonary Disease | KY | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Internal Medicine | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| Pediatric Medicine, Internal Medicine | KY |
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