Active NPI 1063484137 Individual Practitioner Male Practitioner

Dr. Thomas Everett Duncan , MD

Ophthalmology • Lufkin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Duncan, MD is a certified Ophthalmology practicing in Lufkin, TX. With approximately 58 years of clinical experience since graduating from Tulane University School Of Medicine in 1968, Dr. Duncan delivers high-quality medical care to the local community at 1306 W FRANK AVE.

Dr. Duncan accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1306 W Frank Ave

Lufkin, TX 759043313

Telephone 9366348381

Fax 9366399848

Associated Practice Facility / Clinic

🏢 East Texas Eye Associates Facility NPI 1770554297

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1968

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Lufkin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

58 Yrs +20.5 yrs vs City Avg

City Avg: 37.5 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Lufkin, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

1.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duncan (58 Years) 58 Yrs

Lufkin Specialty Average (37.5 Years) 37.5 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	318	145	$87.89	$88.93
92014 Established patient complete exam of visual system	219	215	$121.84	$121.89
92083 Exam of visual field with extended testing	161	140	$60.91	$60.86
92250 Photography of the retina	113	112	$37.66	$34.69
92133 Imaging of optic nerve	78	74	$35.85	$33.15
92134 Imaging of retina	67	60	$38.79	$38.49
92004 New patient complete exam of visual system	42	42	$145.77	$145.22
65855 Laser repair to improve eye fluid flow	38	28	$212.48	$199.71
76514 Ultrasound scan of cornea to determine thickness	35	24	$11.36	$10.67
66821 Removal of recurring cataract in lens capsule using a laser	23	19	$293.53	$299.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$54.50	$55.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	308	298	$123.21	$121.21
99213 Established patient office or other outpatient visit, typically 15 minutes	291	153	$87.98	$85.48
92083 Exam of visual field with extended testing	186	156	$60.67	$59.83
92250 Photography of the retina	145	140	$36.85	$35.21
92133 Imaging of optic nerve	96	89	$36.18	$32.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	44	$54.71	$53.89
92134 Imaging of retina	54	52	$39.38	$37.75
92004 New patient complete exam of visual system	49	49	$145.88	$143.95
76514 Ultrasound scan of cornea to determine thickness	37	32	$11.20	$10.44
92012 Established patient problem focused exam of visual system	32	29	$87.30	$86.26
65855 Laser repair to improve eye fluid flow	28	20	$208.96	$195.09
66821 Removal of recurring cataract in lens capsule using a laser	19	17	$300.03	$295.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	321	309	$125.47	$123.68
92012 Established patient problem focused exam of visual system	192	126	$88.80	$87.29
92083 Exam of visual field with extended testing	183	153	$61.79	$61.25
92250 Photography of the retina	164	159	$38.05	$35.74
99213 Established patient office or other outpatient visit, typically 15 minutes	134	83	$88.55	$88.29
92133 Imaging of optic nerve	96	91	$36.58	$33.78
92004 New patient complete exam of visual system	86	86	$147.18	$147.32
92134 Imaging of retina	64	60	$39.78	$39.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	30	$54.65	$54.75
66821 Removal of recurring cataract in lens capsule using a laser	19	17	$332.65	$296.33
76514 Ultrasound scan of cornea to determine thickness	14	13	$11.15	$10.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	317	194	$88.38	$88.37
92014 Established patient complete exam of visual system	295	279	$125.90	$125.17
92083 Exam of visual field with extended testing	207	169	$62.65	$62.55
92250 Photography of the retina	137	132	$40.23	$38.13
92133 Imaging of optic nerve	113	100	$37.41	$34.69
92004 New patient complete exam of visual system	98	98	$147.84	$149.65
92134 Imaging of retina	65	62	$40.16	$39.77
76514 Ultrasound scan of cornea to determine thickness	58	55	$11.54	$10.75
66984 Removal of cataract with insertion of lens	52	33	$528.49	$535.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	34	$54.08	$54.82
66821 Removal of recurring cataract in lens capsule using a laser	39	35	$308.27	$307.03
92286 Imaging of front third of eye using a special microscope	39	39	$42.93	$35.55
92136 Measurement of corneal curvature and depth of eye	39	37	$24.03	$23.90
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$88.45	$89.64
65855 Laser repair to improve eye fluid flow	14	12	$233.38	$201.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	342	321	$124.28	$123.75
92012 Established patient problem focused exam of visual system	332	195	$86.91	$86.87
92083 Exam of visual field with extended testing	193	159	$61.57	$62.07
92250 Photography of the retina	124	119	$46.43	$43.59
92133 Imaging of optic nerve	109	97	$36.62	$34.68
92134 Imaging of retina	93	82	$39.91	$39.53
76514 Ultrasound scan of cornea to determine thickness	72	65	$11.89	$11.04
92004 New patient complete exam of visual system	71	71	$147.35	$148.49
66984 Removal of cataract with insertion of lens	69	45	$577.47	$531.93
92286 Imaging of front third of eye using a special microscope	45	44	$38.11	$35.56
92136 Measurement of corneal curvature and depth of eye	43	42	$30.46	$30.31
99213 Established patient office or other outpatient visit, typically 15 minutes	38	28	$73.01	$73.61
66821 Removal of recurring cataract in lens capsule using a laser	35	32	$304.73	$302.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	26	$44.10	$44.41
65855 Laser repair to improve eye fluid flow	22	20	$242.09	$206.19
66982 Complex removal of cataract with insertion of prosthetic lens	18	12	$766.24	$717.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	425	400	$124.23	$122.21
92012 Established patient problem focused exam of visual system	391	226	$86.77	$84.96
92083 Exam of visual field with extended testing	245	193	$62.37	$62.09
92134 Imaging of retina	145	118	$40.30	$38.62
92133 Imaging of optic nerve	144	131	$36.64	$34.09
92136 Measurement of corneal curvature and depth of eye	120	44	$25.15	$25.05
92004 New patient complete exam of visual system	113	113	$147.68	$147.39
76514 Ultrasound scan of cornea to determine thickness	81	78	$12.85	$11.44
66984 Removal of cataract with insertion of lens	63	45	$680.35	$605.40
92286 Imaging of front third of eye using a special microscope	47	47	$45.60	$35.01
66821 Removal of recurring cataract in lens capsule using a laser	45	39	$305.49	$304.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$43.79	$42.80
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$72.36	$71.01
92250 Photography of the retina	22	21	$55.24	$46.00
66982 Complex removal of cataract with insertion of prosthetic lens	20	16	$783.35	$781.65
66710 Destruction of lens tissue using laser	15	12	$458.15	$386.29
65855 Laser repair to improve eye fluid flow	15	13	$242.32	$204.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	453	260	$85.32	$81.63
92014 Established patient complete exam of visual system	432	407	$123.52	$117.92
92083 Exam of visual field with extended testing	231	196	$62.24	$59.79
92136 Measurement of corneal curvature and depth of eye	162	62	$34.42	$31.18
92004 New patient complete exam of visual system	128	128	$149.61	$138.89
92133 Imaging of optic nerve	128	121	$36.89	$33.26
92134 Imaging of retina	111	91	$40.65	$38.36
76514 Ultrasound scan of cornea to determine thickness	104	98	$15.22	$13.38
66984 Removal of cataract with insertion of lens	96	62	$674.58	$589.63
66821 Removal of recurring cataract in lens capsule using a laser	66	55	$318.40	$283.54
92286 Imaging of front third of eye using a special microscope	63	63	$40.19	$32.78
65855 Laser repair to improve eye fluid flow	48	38	$240.86	$196.46
92250 Photography of the retina	42	40	$57.20	$52.22
99213 Established patient office or other outpatient visit, typically 15 minutes	36	28	$71.01	$68.33
66982 Complex removal of cataract with insertion of prosthetic lens	28	21	$782.02	$749.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$42.58	$39.71
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$26.30	$25.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	590	547	$120.15	$116.61
92012 Established patient problem focused exam of visual system	465	286	$83.31	$79.89
92083 Exam of visual field with extended testing	274	223	$61.79	$59.92
92136 Measurement of corneal curvature and depth of eye	200	77	$41.66	$37.55
92004 New patient complete exam of visual system	179	179	$144.31	$140.60
92133 Imaging of optic nerve	167	143	$37.00	$33.31
92134 Imaging of retina	145	117	$40.09	$38.10
76514 Ultrasound scan of cornea to determine thickness	114	106	$14.67	$13.45
66984 Removal of cataract with insertion of lens	105	74	$624.67	$604.23
92286 Imaging of front third of eye using a special microscope	81	81	$37.11	$33.25
99213 Established patient office or other outpatient visit, typically 15 minutes	74	50	$70.80	$68.17
66821 Removal of recurring cataract in lens capsule using a laser	64	56	$318.51	$275.67
92250 Photography of the retina	59	58	$64.54	$61.03
66982 Complex removal of cataract with insertion of prosthetic lens	34	24	$777.24	$751.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$42.05	$41.16

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX D6255

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

125569701 (TX)

Commercial Insurance / Payer ID Railroad Medicare

18190080 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. William Bright , MD

Ophthalmology

NPI 1013995448

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 07, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 07, 2013

Registered at 1306 W FRANK AVE, LUFKIN, TX 759043313 (Tel: 9366348381)

📍

Updated Business Mailing Address March 07, 2013

Registered at 1306 W FRANK AVE, LUFKIN, TX 759043313 (Tel: 9366348381)

👤

Provider Name / Credentials Updated March 07, 2013

Recorded as THOMAS DUNCAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2013

Ophthalmology (License #D6255 in TX)

🟢

Initial NPI Registration & Enumeration February 03, 2006

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: 1063484137

Entity Type:

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

Enumeration Date: February 03, 2006

Last Update: March 07, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1306 W Frank Ave

Lufkin, TX 759043313

Phone: 9366348381

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.