DR. TIMOTHY JAMES DUNCAN (M.D.) – Gastroenterology Physician, NPI 1669466504
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
540 GASTROENTEROLOGY in VA
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Provider Addresses for DR. TIMOTHY JAMES DUNCAN (M.D.)
856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS, VA 236011318
Phone: (757) 316-5800
Fax: (757) 534-5190
Type: Mailing
Warwick Boulevard, Nelson Place, Hilton Village, Newport News, Newport News City, Virginia, 23601, United States
NEWPORT NEWS, VA 23601
Phone: (757) 599-6333
Fax: (757) 591-7261
Type: Location
300 Medical Pkwy Ste 106
Chesapeake, VA 233204985
Phone: (757) 606-1720
Fax: (757) 606-1721
Type: Location
2000 Meade Pkwy Ste 400
Suffolk, VA 234344259
Phone: (757) 606-1720
Fax: (757) 606-1721
Type: Location
501 Medical Drive
Hampton, VA 236666080
Phone: (757) 826-7785
Fax: (757) 826-9028
Type: Location
1031 LOFTIS BLVD STE 201
NEWPORT NEWS, VA 236062981
Phone: (757) 736-9850
Type: Location
PO BOX 7068
PORTSMOUTH, VA 237070068
Phone: (757) 686-3508
Fax: (757) 686-0541
Type: Mailing
2000 MEADE PKWY STE 400
SUFFOLK, VA 234344259
Phone: (757) 606-1720
Fax: (757) 606-1721
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2023-06-21 • Largest payer in this snapshot: Celgene Corporation ($31).
Total Amount
$51
General + Research + Ownership
Payments
3
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Celgene Corporation | $31 |
| Ardelyx, Inc. | $20 |
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: 2012-11-27
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 |
|---|---|---|---|---|
| I20121127000271 | I | Gastroenterology | VA | 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 |
|---|---|---|---|---|
| J2704 | Injection, propofol, 10 mg | 1,150 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 72 | 72 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 42 | 41 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 34 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 28 | $0 |
Insurance plans in this area (ZIP 23601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| - | MI | |
| - | VA | |
| - | VA | |
| Pulmonary Disease, Internal Medicine | GA | |
| N E U R O L O G Y | VA | |
| Physician Assistant | VA | |
| - | VA | |
| Family Practice | VA |
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