Active NPI
Tyler M Duncan, DO
- Orthopaedic Surgery Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 3618
- Practice address
- 340 Steeles Rd
Bristol, TN 37620 - Phone
- (423) 280-9011
- Fax
- (423) 282-0035
- NPI assigned
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 3618 | TN | Primary |
Addresses
Primary practice location
340 Steeles Rd
Bristol, TN 37620
Mailing address
2410 Susannah St
Johnson City, TN 37601-1748
Phone (423) 282-9011
Other practice location 1
875 Larry Neil Way
Kingsport, TN 37660-6368
Phone (423) 282-9011
Other practice location 2
2412 Susannah St
Johnson City, TN 37601-1726
Phone (423) 282-9011
Other practice location 3
2410 Susannah St
Johnson City, TN 37601-1748
Phone (423) 282-9011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3618 | Other | TN | TN MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2410 Susannah St
Johnson City, TN 37601-1748
Phone (423) 282-9011
4862 Dickenson Hwy
PO Box 1810
Clintwood, VA 24228-1810
Hospital & facility affiliations
- Wellmont Bristol Regional Medical Center
- Wellmont Holston Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.46 of 100
- Quality
- 65.39
- Promoting interoperability
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 22 |
| Knee replacement | 17 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3618 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Orthopaedics, PLC | Orthopaedic Surgery | Current | Accepting new patients |
| Watauga Orthopaedics PLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
340 Steeles Rd
Bristol, TN 37620
Phone (423) 282-9011
2412 Susannah St
Johnson City, TN 37601
Phone (423) 282-8070
2410 Susannah St
Johnson City, TN 37601
Phone (423) 282-9011
875 Larry Neil Way
Kingsport, TN 37660
Phone (423) 282-9011
Interoperability endpoints
- tyler.duncan.1@3374.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Johnson City, TN
- NPI 1245251404
-
- Physical Therapist
- Clintwood, VA
- NPI 1871513788
-
- Durable Medical Equipment & Medical Supplies
- Greeneville, TN
- NPI 1730924192
Orthopaedic Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1154737799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 SUSANNAH ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011748",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 STEELES RD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "37620",
"telephone_number": "423-280-9011",
"fax_number": "423-282-0035"
}
],
"practiceLocations": [
{
"address_1": "875 Larry Neil Way",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376606368",
"country_code": "US",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2412 Susannah St",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376011726",
"country_code": "US",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2410 Susannah St",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376011748",
"country_code": "US",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "TYLER",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "3618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN MEDICAL LICENSE",
"identifier": "3618",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.