DR. JAMES DALE DUNCAN (M.D.) – Internal Medicine Physician, NPI 1598725020
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
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Provider Addresses for DR. JAMES DALE DUNCAN (M.D.)
PO BOX 1080
BURKESVILLE, KY 427171080
Phone: (270) 858-6655
Fax: (270) 858-4607
Type: Mailing
The Box, 4-6, Ram Place, Homerton, London Borough of Hackney, London, Greater London, England, E9 6LT, United Kingdom
LONDON, KY 407430936
Phone: (606) 330-7818
Fax: (606) 330-7825
Type: Mailing
478, Whirlaway Drive, Danville, Boyle County, Kentucky, 40422, United States
STE 100
DANVILLE, KY 404229037
Phone: (859) 236-6613
Fax: (859) 236-3558
Type: Location
478 WHIRLAWAY DR STE 100
DANVILLE, KY 404229037
Phone: (859) 236-6613
Fax: (859) 236-3558
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $795.
Total Amount is formed as General ($795) + Research ($0) + Ownership ($0) = $795.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($145).
Total Amount
$795
General + Research + Ownership
Payments
45
Total payment records
General Amount
$795
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $145 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $111 |
| Lundbeck LLC | $58 |
| ITI, Inc. | $56 |
| Corium, LLC | $51 |
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: 2009-11-16
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 |
|---|---|---|---|---|
| I20091116000356 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 358 | 111 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 264 | 104 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 172 | 74 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 70 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 50 | $0 |
Insurance plans in this area (ZIP 42717)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | KY | 20610 | Aspiration and/or injection of large joint or joint capsule | 19 | 13 |
| INTERNAL MEDICINE | KY | 83036 | Hemoglobin A1C level | 153 | 93 |
| INTERNAL MEDICINE | KY | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 187 | 159 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KY | |
| - | KY | |
| - | KY | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | KY | |
| N E U R O L O G Y | OH | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| Surgical Oncology | OH | |
| Physician Assistant | KY |
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