Active NPI 1548267156 Individual Practitioner Male Practitioner

Dr. Douglas E Duncan , MD

Orthopaedic Surgery • Marshall, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Duncan, MD is a certified Orthopaedic Surgery practicing in Marshall, TX. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Duncan delivers high-quality medical care to the local community at 815 S WASHINGTON AVE STE 301.

Dr. Duncan is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

815 S Washington Ave Ste 301

Marshall, TX 756705358

Telephone 9039345400

Fax 9039345401

Associated Practice Facility / Clinic

🏢 Christus Trinity Clinic Facility NPI 1285684225

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Marshall, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +12.5 yrs vs City Avg

City Avg: 33.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Marshall, TX (1627 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duncan (46 Years) 46 Yrs

Marshall Specialty Average (33.5 Years) 33.5 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	174	114	$204.00	$63.43
20610 Aspiration and/or injection of fluid from large joint	68	46	$230.88	$46.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$251.00	$80.42
27447 Replacement of knee joint, both sides of knee	15	14	$3930.07	$898.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	138	$204.00	$63.79
20610 Aspiration and/or injection of fluid from large joint	87	66	$246.38	$49.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$251.00	$80.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	308	180	$181.52	$64.84
20610 Aspiration and/or injection of fluid from large joint	117	88	$236.71	$48.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$241.87	$78.93
27447 Replacement of knee joint, both sides of knee	18	18	$3335.34	$827.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	256	166	$161.00	$66.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$234.00	$80.63
20610 Aspiration and/or injection of fluid from large joint	78	68	$223.79	$49.49
27447 Replacement of knee joint, both sides of knee	16	16	$4221.66	$1123.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	199	$164.28	$50.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	136	136	$214.94	$75.15
20610 Aspiration and/or injection of fluid from large joint	106	84	$241.62	$50.17
27447 Replacement of knee joint, both sides of knee	20	16	$4214.69	$1032.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	309	175	$168.00	$49.74
20610 Aspiration and/or injection of fluid from large joint	117	96	$269.89	$49.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$198.00	$73.75
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$168.00	$70.41
27447 Replacement of knee joint, both sides of knee	26	25	$4480.22	$1072.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$198.00	$104.72
20610 Aspiration and/or injection of fluid from large joint	15	15	$235.67	$60.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	378	77	$6.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	308	191	$168.00	$70.30
20610 Aspiration and/or injection of fluid from large joint	121	102	$259.21	$62.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$198.00	$103.97
73565 X-ray of both knees while standing	68	67	$60.00	$25.28
72170 X-ray of pelvis, 1-2 views	43	42	$75.00	$21.61
73030 X-ray of shoulder, minimum of 2 views	41	33	$85.00	$18.60
27447 Replacement of knee joint, both sides of knee	24	23	$4417.38	$1032.62
73560 X-ray of knee, 1-2 views	23	18	$73.22	$21.21
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	18	12	$1350.00	$516.83
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$133.00	$72.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	168	$281.81	$102.96
J1100 Injection, dexamethasone sodium phosphate, 1 mg	216	103	$6.27	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	152	120	$191.53	$68.92
20610 Aspiration and/or injection of fluid from large joint	139	106	$220.15	$63.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$282.42	$103.28
73565 X-ray of both knees while standing	49	49	$92.67	$32.47
72170 X-ray of pelvis, 1-2 views	47	43	$78.81	$29.60
73030 X-ray of shoulder, minimum of 2 views	41	38	$73.73	$27.06
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	27	15	$1269.70	$544.18
73560 X-ray of knee, 1-2 views	27	20	$88.67	$28.57
27447 Replacement of knee joint, both sides of knee	24	23	$4166.75	$1271.32
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$277.57	$95.25
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$189.33	$69.03

Medical Specialties & State Licenses

CMS Verified: 2020-10-05

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX F8760

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 TX F8760

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

P0000GE179 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

815 S Washington Ave, Marshall, TX 756705369

Phone: 9133154880

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Practice Associates & Co-Workers

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

2 Associated Practitioners

Tonja Deem , AGACNP-BC

Nurse Practitioner

NPI 1376045831

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Arthur Strahan , MD

Orthopaedic Surgery

NPI 1518149632

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location October 05, 2020

Registered at 815 S WASHINGTON AVE STE 301, MARSHALL, TX 756705358 (Tel: 9039345400)

📍

Updated Business Mailing Address October 05, 2020

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

✅

NPI Profile Active June 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2014

Registered at 815 S WASHINGTON AVE, SUITE 202, MARSHALL, TX 756705369 (Tel: 9039345400)

📍

Updated Business Mailing Address June 24, 2014

Registered at PO BOX 1325, MARSHALL, TX 756711325 (Tel: 9033154119)

👤

Provider Name / Credentials Updated June 24, 2014

Recorded as DOUGLAS DUNCAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2014

Specialist (License #F8760 in TX)

🟢

Initial NPI Registration & Enumeration June 29, 2005

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: 1548267156

Entity Type:

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

Enumeration Date: June 29, 2005

Last Update: October 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246400

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.