Active NPI 1033413547 Individual Practitioner Male Practitioner

Dr. Charles Osborne Duncan , DO

Internal Medicine • Dayton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Duncan, DO is a certified Internal Medicine practicing in Dayton, OH. With approximately 16 years of clinical experience since graduating from University Of Pikeville, Kentucky College Of Osteopathic Med in 2010, Dr. Duncan delivers high-quality medical care to the local community at 405 W GRAND AVE.

Dr. Duncan maintains professional affiliations with Waccamaw Community Hospital, Georgetown Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

405 W Grand Ave
C/o Medical Education

Dayton, OH 454054720

Telephone 9377233248

Associated Practice Facility / Clinic

🏢 Southview Pathologists, Inc Facility NPI 1619952884

Medicare Profile & Education

Medical School

University Of Pikeville, Kentucky College Of Osteopathic Med

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dayton, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -4.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

232 Specialists

Practicing in Dayton, OH (5516 Statewide)

Telehealth Adoption Rate

6.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duncan (16 Years) 16 Yrs

Dayton Specialty Average (20.3 Years) 20.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	378	123	$164.00	$74.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	51	$459.00	$163.28
99239 Hospital discharge day management, more than 30 minutes	42	41	$262.00	$108.13
99238 Hospital discharge day management, 30 minutes or less	36	35	$175.00	$76.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	565	142	$172.77	$76.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	60	$483.28	$167.08
99239 Hospital discharge day management, more than 30 minutes	52	50	$262.00	$107.80
99238 Hospital discharge day management, 30 minutes or less	26	26	$175.85	$71.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	661	157	$176.00	$67.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	59	$496.00	$185.44
99239 Hospital discharge day management, more than 30 minutes	42	40	$262.00	$97.59
99225 Subsequent observation care, typically 25 minutes per day	26	16	$176.00	$65.78
99238 Hospital discharge day management, 30 minutes or less	16	16	$177.00	$59.67
99220 Hospital observation care, typically 70 minutes	15	15	$452.00	$160.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	655	188	$176.00	$69.57
99239 Hospital discharge day management, more than 30 minutes	65	62	$262.00	$102.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	52	$496.00	$193.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	13	$254.00	$100.00
99238 Hospital discharge day management, 30 minutes or less	19	19	$177.00	$69.58
99217 Hospital observation care on day of discharge	16	16	$178.00	$69.54
99225 Subsequent observation care, typically 25 minutes per day	13	11	$176.00	$69.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	806	257	$176.00	$70.73
99239 Hospital discharge day management, more than 30 minutes	121	120	$262.00	$103.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	99	$496.00	$197.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	24	$254.00	$101.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	12	$96.00	$38.56
99225 Subsequent observation care, typically 25 minutes per day	33	21	$176.00	$71.17
99217 Hospital observation care on day of discharge	23	23	$178.00	$70.65
99220 Hospital observation care, typically 70 minutes	17	17	$452.00	$181.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	876	271	$176.00	$69.69
99239 Hospital discharge day management, more than 30 minutes	173	170	$262.00	$101.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	147	144	$496.00	$194.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	30	$254.00	$99.60
99217 Hospital observation care on day of discharge	56	55	$178.00	$70.01
99225 Subsequent observation care, typically 25 minutes per day	51	41	$176.00	$70.23
99220 Hospital observation care, typically 70 minutes	37	37	$452.00	$178.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	18	$96.00	$37.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$337.00	$131.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	842	278	$176.00	$69.60
99239 Hospital discharge day management, more than 30 minutes	192	186	$262.00	$102.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	103	100	$496.00	$193.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	31	$254.00	$99.73
99291 Critical care, first 30-74 minutes	51	24	$546.00	$212.72
99217 Hospital observation care on day of discharge	47	47	$178.00	$69.72
99220 Hospital observation care, typically 70 minutes	45	45	$452.00	$178.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	27	$96.00	$37.47
99225 Subsequent observation care, typically 25 minutes per day	38	34	$176.00	$70.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$337.00	$130.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	700	247	$176.00	$81.58
99239 Hospital discharge day management, more than 30 minutes	180	177	$262.00	$119.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	127	123	$496.00	$237.95
99225 Subsequent observation care, typically 25 minutes per day	97	51	$176.00	$84.98
99220 Hospital observation care, typically 70 minutes	66	64	$452.00	$217.11
99217 Hospital observation care on day of discharge	65	65	$178.00	$82.14
99291 Critical care, first 30-74 minutes	54	38	$546.00	$263.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	24	$254.00	$124.46

Medical Specialties & State Licenses

CMS Verified: 2021-03-30

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NC 36197

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License OH 58.003696

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Waccamaw Community Hospital

4070 Hwy 17, Murrells Inlet, SC 295765033

Phone: 8436521000

Georgetown Memorial Hospital

606 Black River Rd, Georgetown, SC 294403304

Phone: 8435277000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Andrew Kristufek , DO

Student in an Organized Health Care Education/Training Program

NPI 1013777960

Doctor of Osteopathic Medicine (D.O.)

Dr. Jason Mcintosh , DO

Emergency Medicine

NPI 1023456357

Doctor of Osteopathic Medicine (D.O.)

Alexandra Brezovec

Student in an Organized Health Care Education/Training Program

NPI 1023803848

Dr. Chelsea Nickolson , DO, MBA

Hospitalist

NPI 1033557764

Doctor of Osteopathic Medicine (D.O.), Master of Business Administration

Dr. Kody Metzger , DO

Student in an Organized Health Care Education/Training Program

NPI 1033961123

Doctor of Osteopathic Medicine (D.O.)

Romelio Carangan

Student in an Organized Health Care Education/Training Program

NPI 1033979919

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2014

Registered at 405 W GRAND AVE, C/O MEDICAL EDUCATION, DAYTON, OH 454054720 (Tel: 9377233248)

📍

Updated Business Mailing Address December 02, 2014

Registered at 8235 HYANNIS PORT DR, APT 2B, DAYTON, OH 454581779 (Tel: 9377236119)

👤

Provider Name / Credentials Updated December 02, 2014

Recorded as CHARLES DUNCAN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2014

Internal Medicine (License #36197 in NC)

🟢

Initial NPI Registration & Enumeration December 28, 2010

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: 1033413547

Entity Type:

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

Enumeration Date: December 28, 2010

Last Update: March 30, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

8235 Hyannis Port Dr, Apt 2b

Dayton, OH 454581779

Phone: 9377236119

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.