Active NPI 1780107615 Individual Practitioner Female Practitioner

Lori Duncan

Physician Assistant • Somerset, KY

Professional Overview & Biography Verified Profile Summary

Lori Duncan is a registered healthcare professional specializing in Physician Assistant in Somerset, KY. Practice services are available at 305 LANGDON ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

305 Langdon St

Somerset, KY 42503

Telephone 6066797441

Associated Practice Facility / Clinic

🏢 Marilyn Mason Mcmillen Md Psc Facility NPI 1386605798

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Somerset, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.0 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

14 Specialists

Practicing in Somerset, KY (1973 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	111	109	$1030.12	$97.14
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	108	104	$77.07	$6.44
99285 Emergency department visit for life threatening or functioning severity	105	100	$1508.43	$139.64
99283 Emergency department visit with low level of medical decision making	15	14	$664.00	$57.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	113	106	$75.16	$6.55
99285 Emergency department visit for life threatening or functioning severity	77	75	$1464.43	$143.33
99284 Emergency department visit with moderate level of medical decision making	48	47	$1001.50	$98.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	126	122	$73.14	$6.74
99285 Emergency department visit for life threatening or functioning severity	116	113	$1419.85	$146.26
99284 Emergency department visit with moderate level of medical decision making	43	42	$948.49	$100.64
99283 Emergency department visit with low level of medical decision making	15	13	$626.00	$59.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	335	312	$1353.25	$149.70
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	145	142	$71.04	$6.90
99284 Emergency department visit with moderate level of medical decision making	95	92	$905.75	$101.72
99283 Emergency department visit with low level of medical decision making	48	47	$608.38	$60.44
71045 X-ray of chest, 1 view	15	15	$49.13	$7.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	312	296	$1289.14	$144.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	196	186	$68.11	$7.04
99284 Emergency department visit with moderate level of medical decision making	51	50	$867.22	$99.84
99283 Emergency department visit with low level of medical decision making	17	17	$580.71	$54.47
71045 X-ray of chest, 1 view	15	15	$47.27	$7.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	371	339	$1227.52	$142.64
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	165	157	$65.25	$6.96
99284 Emergency department visit with moderate level of medical decision making	115	113	$826.22	$96.06
71045 X-ray of chest, 1 view	23	23	$45.26	$7.53
99283 Emergency department visit with low level of medical decision making	15	14	$551.00	$51.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	363	339	$1169.44	$142.48
99284 Emergency department visit with moderate level of medical decision making	131	131	$784.79	$96.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	83	81	$62.04	$6.96
99283 Emergency department visit with low level of medical decision making	40	38	$528.25	$51.05

Medical Specialties & State Licenses

CMS Verified: 2022-04-11

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA2264

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

6965 Cumberland Gap Pkwy

Harrogate, TN 377528245

Phone: 4238697200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Gage Keck , DO

Student in an Organized Health Care Education/Training Program

NPI 1033050075

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Marks , MD

Radiology - Diagnostic Radiology

NPI 1114906898

Doctor of Medicine (M.D.)

Dr. Jacob Rizkalla , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1134784978

Doctor of Podiatric Medicine

Dr. Annsley Ingram , DO

Student in an Organized Health Care Education/Training Program

NPI 1134972268

Doctor of Osteopathic Medicine (D.O.)

Brian Gaskins , NP

Nurse Practitioner

NPI 1144562059

Nurse Practitioner

Daniel Patton , CRNA

Nurse Anesthetist, Certified Registered

NPI 1154650257

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

👤

Provider Name / Credentials Updated April 11, 2022

Recorded as LORI DUNCAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2022

Physician Assistant (License #PA2264 in KY)

📍

Updated Practice Location July 17, 2018

Registered at 305 LANGDON ST, SOMERSET, KY 42503 (Tel: 6066797441)

📍

Updated Business Mailing Address July 17, 2018

Registered at 305 LANGDON ST, SOMERSET, KY 425032750 (Tel: 6066797441)

👤

Provider Name / Credentials Updated July 17, 2018

Recorded as LORI MILLER

✅

NPI Profile Active July 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 23, 2017

Registered at 6965 CUMBERLAND GAP PKWY, HARROGATE, TN 377528245 (Tel: 4238697200)

📍

Updated Business Mailing Address July 23, 2017

Registered at 6965 CUMBERLAND GAP PKWY, HARROGATE, TN 377528245

👤

Provider Name / Credentials Updated July 23, 2017

Recorded as LORI DUNCAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2017

Physician Assistant

🟢

Initial NPI Registration & Enumeration July 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780107615

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 23, 2017

Last Update: April 11, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

305 Langdon St

Somerset, KY 425032750

Phone: 6066797441

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.