KARL A DUNCAN (M.D.) – Interventional Cardiology Physician, NPI 1265465017
Interventional Cardiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,228 INTERNAL MEDICINE in MS
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Provider Addresses for KARL A DUNCAN (M.D.)
PO BOX 122152 DEPT 2152
DALLAS, TX 753120001
Phone: (337) 494-2921
Fax: (337) 494-6523
Type: Mailing
200, Hardy Street, Hattiesburg, Forrest County, Mississippi, 39401, United States
HATTIESBURG, MS 394021331
Phone: (601) 261-5700
Fax: (601) 261-5777
Type: Location
1717 OAK PARK BLVD FL 2
LAKE CHARLES, LA 706018990
Phone: (337) 494-3278
Fax: (337) 494-3240
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 84 Open Payments records for all available years, with a total value of $1,942.
Total Amount is formed as General ($1,942) + Research ($0) + Ownership ($0) = $1,942.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Philips North America LLC ($426).
Total Amount
$1,942
General + Research + Ownership
Payments
84
Total payment records
General Amount
$1,942
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Philips North America LLC | $426 |
| Amgen Inc. | $238 |
| Novartis Pharmaceuticals Corporation | $220 |
| Merck Sharp & Dohme LLC | $139 |
| ABIOMED | $117 |
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: 2018-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130412000587 | I | Internal Medicine | LA | TBD |
| I20181222000221 | I | Cardiovascular Disease (Cardiology) | NM | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 797 | 645 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 308 | 302 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 247 | 155 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 134 | 119 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 105 | 55 | $0 |
Insurance plans in this area (ZIP 75312)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 104 | 104 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 21 | 18 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 69 | 65 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | LA | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | LA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | LA | |
| Nurse Practitioner | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TX | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | LA |
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