DR. KELLY MICHAEL DUNCAN (O D) – Optometrist, NPI 1912954983

DR. KELLY MICHAEL DUNCAN (O D) is a healthcare provider. based in Humboldt, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O D. They hold a License No. OD1592 (TN). The NPI Number for DR. KELLY MICHAEL DUNCAN (O D) is 1912954983

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY MICHAEL DUNCAN (O D)
NPI
1912954983
Phone
(731) 668-3018
Address
PO BOX 509
Enumeration Date
27 May 2006
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7316683018
Graduation Year
1994 (32 years ago)
PAC ID
9234118704
Group Practice PAC ID
1759646995
Professional Enrollment ID
I20040717000376
Address ID
TN383056062JA1000XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

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Provider Addresses for DR. KELLY MICHAEL DUNCAN (O D)

  • PO BOX 509

    HUMBOLDT, TN 383430509

    Phone: (731) 668-3018

    Fax: (731) 668-9158

    Type: Mailing

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Type: Mailing

  • Vann Drive, The Columns, Jackson, Madison County, West Tennessee, Tennessee, 38302, United States

    JACKSON, TN 383056001

    Phone: (731) 668-3018

    Fax: (731) 668-9158

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $434.

Total Amount is formed as General ($434) + Research ($0) + Ownership ($0) = $434.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Alcon Vision LLC ($230).

Total Amount

$434

General + Research + Ownership

Payments

11

Total payment records

General Amount

$434

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

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: 2004-07-17

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
I20040717000376IOptometryTNTBD

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
92250Photography of the retina249227$0
92014Established patient complete exam of visual system159156$0
99212Established patient office or other outpatient visit, 10-19 minutes4036$0
99213Established patient office or other outpatient visit, 20-29 minutes3431$0
View full utilization report →

Insurance plans in this area (ZIP 38343)

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Provider's Procedures

DR. KELLY MICHAEL DUNCAN (O D) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTN92012Eye and medical examination for diagnosis and treatment, established patient12890

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: 1759646995View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KELLY MICHAEL DUNCAN (O D)?
DR. KELLY MICHAEL DUNCAN (O D) — NPI 1912954983 — is the standard way to identify this listing.
Is DR. KELLY MICHAEL DUNCAN (O D) listed as active for patients and plans?
The listing shows DR. KELLY MICHAEL DUNCAN (O D) as active in the NPI system.
What is DR. KELLY MICHAEL DUNCAN (O D) best known for clinically?
Directory data describes DR. KELLY MICHAEL DUNCAN (O D) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. KELLY MICHAEL DUNCAN (O D) based?
DR. KELLY MICHAEL DUNCAN (O D) is tied to Humboldt, Tennessee in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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