Active NPI 1275540544 Individual Practitioner Male Practitioner

Dr. Craig A Duncan , DO

Surgery • Cheboygan, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Craig Duncan, DO is a certified Surgery practicing in Cheboygan, MI. With approximately 36 years of clinical experience since graduating from Ohio University, College Of Osteopathic Medicine in 1990, Dr. Duncan delivers high-quality medical care to the local community at 810 S MAIN ST.

Dr. Duncan is affiliated with Mclaren Central Michigan and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

810 S Main St
Suite 1

Cheboygan, MI 497212290

Telephone 2316274364

Fax 2316277758

Associated Practice Facility / Clinic

🏢 T.m. Burandt D.o. & Associates Pc Facility NPI 1093721839

Medicare Profile & Education

Medical School

Ohio University, College Of Osteopathic Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cheboygan, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Cheboygan, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duncan (36 Years) 36 Yrs

Cheboygan Specialty Average (36.0 Years) 36.0 Yrs

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
45380 Biopsy of large bowel using an endoscope	96	94	$1265.93	$170.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	30	$825.30	$96.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1521.93	$255.60
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$1532.63	$187.68
45380 Biopsy of large bowel using an endoscope	13	13	$1306.80	$188.08
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1056.53	$182.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	105	103	$1219.68	$155.46
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$799.42	$92.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	26	$1459.12	$237.55
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$1472.16	$173.75
45380 Biopsy of large bowel using an endoscope	15	15	$1230.74	$123.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	147	147	$1173.06	$153.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	53	51	$766.70	$96.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	40	$1403.91	$249.50
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$1423.01	$176.94
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$986.32	$174.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	132	132	$1124.45	$164.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	51	$736.82	$97.60
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$1347.68	$253.38
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$1361.79	$180.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	145	142	$1086.18	$183.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	44	$711.32	$102.93
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$908.59	$189.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$1307.56	$260.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$127.28	$73.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$42.00	$25.88
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$79.05	$51.55
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$156.88	$73.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$110.00	$79.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	200	195	$1040.16	$170.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	80	76	$678.67	$117.81
99213 Established patient office or other outpatient visit, typically 15 minutes	56	44	$73.98	$50.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	46	44	$1241.99	$255.05
45378 Diagnostic exam of large bowel using a flexible endoscope	42	42	$876.82	$179.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$110.00	$75.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$33.77	$25.25
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$74.71	$50.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$111.56	$77.88
45381 Injection beneath lining of large bowel using a flexible endoscope	12	12	$642.78	$16.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	189	187	$1032.72	$184.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	100	92	$674.96	$102.82
45378 Diagnostic exam of large bowel using a flexible endoscope	56	56	$865.28	$186.60
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$75.13	$50.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$108.65	$74.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$39.92	$24.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$1234.48	$258.76
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$67.00	$49.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$115.71	$77.14
47562 Removal of gallbladder using an endoscope	16	16	$2137.20	$658.49
46600 Diagnostic examination of the anus using an endoscope	13	13	$58.40	$37.60
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$490.22	$139.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	121	120	$1032.72	$202.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	91	87	$674.96	$104.15
99213 Established patient office or other outpatient visit, typically 15 minutes	67	52	$77.42	$49.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$115.02	$74.02
45378 Diagnostic exam of large bowel using a flexible endoscope	40	39	$865.28	$183.59
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$70.34	$49.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$1234.48	$257.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$38.63	$24.68

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 5101014492

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4185736 (MI)

Hospital & Practice Group Affiliations

Mclaren Central Michigan

740 S Main St, Cheboygan, MI 497212220

Phone: 2316274364

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 810 S MAIN ST, SUITE 1, CHEBOYGAN, MI 497212290 (Tel: 2316274364)

📍

Updated Business Mailing Address July 08, 2007

Registered at 810 S MAIN ST, SUITE 1, CHEBOYGAN, MI 497212290 (Tel: 2316274364)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CRAIG DUNCAN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #5101014492 in MI)

🟢

Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275540544

Entity Type:

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

Enumeration Date: August 01, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

810 S Main St, Suite 1

Cheboygan, MI 497212290

Phone: 2316274364

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.