DR. DUNCAN MARK BURKHOLDER (MD) – Gynecology Physician, NPI 1467430405
Gynecology Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,164 OBSTETRICS/GYNECOLOGY in TX
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Provider Addresses for DR. DUNCAN MARK BURKHOLDER (MD)
Grace Clinic, 4515, Marsha Sharp Freeway, Lubbock, Texas, 79407, United States
LUBBOCK, TX 794072520
Phone: (806) 744-7223
Fax: (806) 740-3325
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 22 Open Payments records for all available years, with a total value of $537.
Total Amount is formed as General ($537) + Research ($0) + Ownership ($0) = $537.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($116).
Total Amount
$537
General + Research + Ownership
Payments
22
Total payment records
General Amount
$537
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $116 |
| FEMSelect Inc. | $107 |
| Exeltis, USA Inc. | $52 |
| MAYNE PHARMA COMMERCIAL LLC | $47 |
| Astellas Pharma US Inc | $46 |
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: 2005-07-18
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 |
|---|---|---|---|---|
| I20050718000785 | I | Obstetrics/Gynecology | TX | 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 |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 109 | 25 | $0 |
| 51792 | Assessment of muscle signal of pelvic nerves | 83 | 16 | $0 |
| 90912 | Biofeedback training for bowel or bladder control, initial 15 minutes | 73 | 16 | $0 |
| 90913 | Biofeedback training for bowel or bladder control, each additional 15 minutes | 73 | 16 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 47 | 47 | $0 |
Insurance plans in this area (ZIP 79407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| Physician Assistant | TX | |
| P O D I A T R Y | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| - | TX |
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