Individual provider Active NPI

Thomas Everett Duncan, M.D.

  • Ophthalmology Physician
  • Lufkin, TX
National Provider Identifier
1063484137
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D6255 Issued in TX
Practice address
1306 W Frank Ave
Lufkin, TX 75904-3313
Phone
(936) 634-8381
Fax
(936) 639-9848
NPI assigned
Feb 3, 2006
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D6255 TX Primary

Addresses

Primary practice location

1306 W Frank Ave
Lufkin, TX 75904-3313

Mailing address

1306 W Frank Ave
Lufkin, TX 75904-3313
Phone (936) 634-8381

Other identifiers 2

IdentifierTypeStateIssuer
125569701MedicaidTX
18190080OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000145 TX Practitioner - Ophthalmology 2961526603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1306 W Frank Ave
Lufkin, TX 75904-3313
Phone (936) 634-8381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.35 of 100Reported as individual
Quality
88.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D6255TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Eye Associates CurrentSince Jun 23, 1982 Accepting new patients

Locations

1306 W Frank Ave
Lufkin, TX 75904
Phone (409) 634-8381

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1063484137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043313",
            "telephone_number": "936-634-8381",
            "fax_number": "936-639-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043313",
            "telephone_number": "936-634-8381",
            "fax_number": "936-639-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "THOMAS",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D6255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125569701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "18190080",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.