Individual provider Active NPI

Casey Ellis Duncan, MD

  • Radiation Oncology Physician
  • Effingham, IL
National Provider Identifier
1487720942
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036137340 Issued in IL
Practice address
905 Medical Park Dr
Department of Radiation Oncology
Effingham, IL 62401-2190
Phone
(217) 342-2066
Fax
(217) 342-2074
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 036137340 IL Primary

Addresses

Primary practice location

905 Medical Park Dr
Department of Radiation Oncology
Effingham, IL 62401-2190

Mailing address

905 Medical Park Dr
Department of Radiation Oncology
Effingham, IL 62401-2190
Phone (217) 342-2066

Other identifiers 4

IdentifierTypeStateIssuer
036137340MedicaidIL
1487720942OtherNPI
P01615119OtherMEDICARE RR PALMETTO GBA
295078OtherHEALTH ALLIANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110427000313 TX Practitioner - Radiation Oncology 8820284441 Practice locations: Lackland Afb, TX
I20150618002074 IL Practitioner - Radiation Oncology 8820284441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Care Specialists of Central Illinois SCGroup PAC ID 5991619116, 31 clinicians

Practice addresses (Care Compare)

905 Medical Park Dr
Effingham, IL 62401-2190
Phone (217) 342-2066

Hospital & facility affiliations

  • HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032
  • Fayette County Hospital Hospital, Vandalia, IL, CCN 141346
  • Clay County Hospital Hospital, Flora, IL, CCN 141351
  • Carle Richland Memorial Hospital Hospital, Olney, IL, CCN 141355

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Specialists of Central Illinois, S.C CurrentSince Jul 1, 2015 Accepting new patients
Cancer Care Specialists of Central Illinois, S.C. Radiation Oncology CurrentSince Jul 1, 2015 Accepting new patients

Locations

210 W McKinley Ave
#1
Decatur, IL 62526
Phone (217) 877-9442

905 Medical Park Dr
Effingham, IL 62401
Phone (217) 342-2066

1001 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2250

321 Regency Park
Ste 100
O Fallon, IL 62269
Phone (618) 416-7970

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1487720942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MEDICAL PARK DR",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012190",
            "telephone_number": "217-342-2066",
            "fax_number": "217-342-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MEDICAL PARK DR",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012190",
            "telephone_number": "217-342-2066",
            "fax_number": "217-342-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "CASEY",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036137340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036137340",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487720942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO GBA",
            "identifier": "P01615119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "295078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.