Doctor profile · Federal record
Dr. Phillip Duncan, M.D.
Cardiovascular Disease Physician (CMS: Cardiovascular Disease (Cardiology)) · Specialist · Chester, VA
- NPI 1215067509
- Accepts Medicare
- MIPS 76.2 / 100 · 2023
- 48 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
281 E Hundred RD
Chester, VA 238362613
(804) 530-5178
fax (804) 530-5185
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- March 13, 2024
- Year of graduation
- 1978 — 48 yrs since
- Specialty taxonomy
- 207RC0000X — NUCC code
- State license (1)
- Virginia #0101035649
- Medicaid
- VA #005817986
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215067509. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
645
Distinct HCPCS
10
Medicare allowed
$61,952
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 186 | 77 | $77 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 98 | 81 | $82 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 93 | 42 | $116 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 51 | 46 | $113 | |
99239 |
Hospital discharge day management, more than 30 minutes | 49 | 48 | $109 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 30 | 26 | $168 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 30 | 27 | $169 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 28 | 28 | $81 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 27 | 26 | $51 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 17 | 16 | $95 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 97. This provider delivers 6.6× the peer median.Open Payments
Industry payments received
All-time total
$160
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Amgen Inc. | 1 | $140.49 | |
| Novartis Pharmaceuticals Corporation | 1 | $19.46 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
863
Patients
234
Total drug cost
$146,001
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 150 | 52 | $1,155 |
| Carvedilol | Generic | 134 | 48 | $1,443 |
| Metoprolol Succinate | Generic | 61 | 22 | $1,072 |
| Rosuvastatin Calcium | Generic | 61 | 24 | $1,994 |
| Jardiance (Empagliflozin) | Brand | 58 | 0 | $40,953 |
| Eliquis (Apixaban) | Brand | 49 | 13 | $50,917 |
| Spironolactone | Generic | 49 | 12 | $410 |
| Atorvastatin Calcium | Generic | 44 | 19 | $469 |
| Spironolactone-Hctz (Spironolact/Hydrochlorothiazid) | Brand | 41 | 0 | $1,292 |
| Potassium Chloride | Generic | 39 | 13 | $1,001 |
Hospital affiliations
Frequently asked questions
What is Dr. Phillip Duncan's medical specialty?
Dr. Phillip Duncan practices Cardiovascular Disease Physician in Chester, VA.
Where does Dr. Phillip Duncan practice?
Dr. Phillip Duncan practices at 281 E Hundred RD, Chester, VA 238362613. Office phone: 8045305178.
What is Dr. Phillip Duncan's NPI?
Dr. Phillip Duncan's National Provider Identifier (NPI) is 1215067509, issued by NPPES.
Does Dr. Phillip Duncan accept Medicare assignment?
Yes. Dr. Phillip Duncan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Phillip Duncan commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99213); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.