Active NPI 1073573754 Individual Practitioner Female Practitioner

Dr. Danielle C Duncan , MD

Orthopaedic Surgery • Saginaw, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Danielle Duncan, MD is a certified Orthopaedic Surgery practicing in Saginaw, MI. With approximately 31 years of clinical experience since graduating from Wayne State University School Of Medicine in 1995, Dr. Duncan delivers high-quality medical care to the local community at 5483 GRATIOT RD.

Dr. Duncan is affiliated with Covenant Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, x-ray of foot, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5483 Gratiot Rd

Saginaw, MI 486386037

Telephone 9897995557

Fax 9897992840

Associated Practice Facility / Clinic

🏢 Saginaw Valley Bone & Joint Center Pc Facility NPI 1780615708

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Saginaw, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +5.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

17 Specialists

Practicing in Saginaw, MI (1014 Statewide)

Telehealth Adoption Rate

5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duncan (31 Years) 31 Yrs

Saginaw Specialty Average (26.0 Years) 26.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	59	45	$162.88	$85.03
73564 X-ray of knee, 4 or more views	40	40	$123.38	$50.75
73630 X-ray of foot, minimum of 3 views	33	26	$82.03	$35.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$235.00	$119.65
73502 X-ray of hip, 2-3 views	27	24	$106.00	$43.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$222.00	$102.19
73610 X-ray of ankle, minimum of 3 views	23	17	$62.09	$34.08
20985 Computer-assisted surgery for muscle and bone procedure	22	22	$284.00	$139.56
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$146.00	$79.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$339.00	$159.37
27447 Replacement of knee joint, both sides of knee	14	14	$2604.00	$1241.02
73562 X-ray of knee, 3 views	12	12	$99.67	$40.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	49	$152.35	$85.60
73564 X-ray of knee, 4 or more views	42	41	$120.00	$49.53
73630 X-ray of foot, minimum of 3 views	35	28	$84.00	$37.62
73502 X-ray of hip, 2-3 views	33	27	$106.00	$43.66
20985 Computer-assisted surgery for muscle and bone procedure	27	27	$284.00	$140.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$211.33	$104.22
73610 X-ray of ankle, minimum of 3 views	25	22	$67.64	$37.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$217.52	$121.76
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$146.00	$80.56
27447 Replacement of knee joint, both sides of knee	19	19	$2604.00	$1244.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$320.33	$149.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	51	$136.97	$86.89
73630 X-ray of foot, minimum of 3 views	42	29	$77.57	$33.22
73564 X-ray of knee, 4 or more views	41	33	$104.83	$44.67
73610 X-ray of ankle, minimum of 3 views	35	23	$60.91	$35.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$197.79	$124.85
73502 X-ray of hip, 2-3 views	24	23	$96.38	$43.63
20985 Computer-assisted surgery for muscle and bone procedure	23	23	$284.00	$144.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$193.50	$105.36
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$146.00	$98.42
73562 X-ray of knee, 3 views	16	14	$80.88	$35.51
27447 Replacement of knee joint, both sides of knee	16	16	$2604.00	$1269.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$296.46	$163.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	60	41	$52.45	$32.18
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$130.34	$87.18
73564 X-ray of knee, 4 or more views	46	36	$73.70	$43.01
73502 X-ray of hip, 2-3 views	33	25	$70.00	$44.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$190.50	$120.43
20985 Computer-assisted surgery for muscle and bone procedure	27	25	$284.00	$146.04
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$146.00	$99.80
73600 X-ray of ankle, 2 views	25	17	$55.00	$29.87
73610 X-ray of ankle, minimum of 3 views	24	16	$58.17	$32.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$186.25	$107.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$283.13	$165.26
27447 Replacement of knee joint, both sides of knee	14	14	$2604.00	$1288.41
27130 Replacement of thigh bone and hip joint with prosthesis	13	11	$2420.00	$1290.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	63	$120.44	$70.94
73630 X-ray of foot, minimum of 3 views	51	30	$53.02	$31.19
73564 X-ray of knee, 4 or more views	48	42	$73.00	$39.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	41	$170.66	$102.77
73502 X-ray of hip, 2-3 views	38	31	$70.00	$40.41
73610 X-ray of ankle, minimum of 3 views	34	18	$55.53	$28.76
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$146.00	$100.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$173.00	$101.73
20985 Computer-assisted surgery for muscle and bone procedure	17	17	$284.00	$148.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$249.12	$158.40
73600 X-ray of ankle, 2 views	14	12	$56.86	$32.01
73562 X-ray of knee, 3 views	13	12	$62.00	$33.87
27447 Replacement of knee joint, both sides of knee	13	13	$2704.15	$1409.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	81	$113.00	$70.74
73630 X-ray of foot, minimum of 3 views	76	57	$52.00	$25.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	50	$167.00	$102.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$165.00	$104.14
73600 X-ray of ankle, 2 views	35	31	$55.00	$24.77
73564 X-ray of knee, 4 or more views	32	25	$73.00	$33.30
73502 X-ray of hip, 2-3 views	30	26	$70.00	$34.35
73610 X-ray of ankle, minimum of 3 views	24	19	$58.00	$26.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$245.00	$158.72
20985 Computer-assisted surgery for muscle and bone procedure	14	14	$284.00	$147.08
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$146.00	$99.39
27447 Replacement of knee joint, both sides of knee	11	11	$2604.00	$1346.96
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$2420.00	$1347.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	95	$105.31	$69.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$154.52	$104.10
73562 X-ray of knee, 3 views	62	49	$62.00	$28.69
73630 X-ray of foot, minimum of 3 views	49	40	$52.00	$23.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$159.52	$101.85
73564 X-ray of knee, 4 or more views	29	21	$73.00	$31.23
73502 X-ray of hip, 2-3 views	27	25	$70.00	$32.56
73600 X-ray of ankle, 2 views	24	22	$53.50	$23.98
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$146.00	$99.61
27447 Replacement of knee joint, both sides of knee	13	12	$2604.00	$1346.97
73610 X-ray of ankle, minimum of 3 views	12	11	$58.00	$25.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$290.00	$198.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	103	$103.65	$69.23
73630 X-ray of foot, minimum of 3 views	70	48	$68.76	$23.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$154.58	$103.75
73562 X-ray of knee, 3 views	48	38	$73.42	$28.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$190.36	$133.70
73502 X-ray of hip, 2-3 views	29	25	$74.76	$32.48
73610 X-ray of ankle, minimum of 3 views	20	15	$69.90	$25.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$147.89	$100.21
27447 Replacement of knee joint, both sides of knee	17	17	$2849.41	$1337.92
73600 X-ray of ankle, 2 views	17	15	$59.82	$23.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$111.88	$70.46

Medical Specialties & State Licenses

CMS Verified: 2021-03-26

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301065908

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Specialist

NUCC Taxonomy Code: 174400000X

State License MI 4301065908

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Covenant Medical Center Inc

5483 Gratiot Rd, Saginaw, MI 486386037

Phone: 9897995557

Practice Associates & Co-Workers

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

6 Associated Practitioners

Cheryl Howard , PT

Physical Therapist

NPI 1295862415

Physical Therapist

Kevin Blosser , MS ATC

Specialist/Technologist - Athletic Trainer

NPI 1346328663

MSATC

Amanda Goodwin , PA-C

Physician Assistant

NPI 1396754404

Physician Assistant (Certified)

Dr. Jeffrey Osborne , MD

Orthopaedic Surgery - Sports Medicine

NPI 1730527631

Doctor of Medicine (M.D.)

Greta Dijak , PT

Physical Therapist

NPI 1770680753

Physical Therapist

Dr. Kurt Menapace , MD

Orthopaedic Surgery

NPI 1932168341

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active August 24, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 24, 2017

Registered at 1447 N HARRISON, SAGINAW, MI 48602 (Tel: 9897995557)

📍

Updated Practice Location August 24, 2017

Registered at 5483 GRATIOT RD, SAGINAW, MI 486386037 (Tel: 9897995557)

👤

Provider Name / Credentials Updated August 24, 2017

Recorded as DANIELLE DUNCAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Specialist (License #4301065908 in MI)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5483 GRATIOT RD, SAGINAW, MI 486386037 (Tel: 9897995557)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5483 GRATIOT RD, SAGINAW, MI 486386037 (Tel: 9897995557)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DANIELLE DUNCAN, M.D.

🎓

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

Specialist (License #4301065908 in MI)

🟢

Initial NPI Registration & Enumeration March 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1073573754

Entity Type:

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

Enumeration Date: March 25, 2006

Last Update: March 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1447 N Harrison

Saginaw, MI 48602

Phone: 9897995557

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.