NPIMap

Individual provider Active NPI

Derek L Duncan, DO

  • Family Medicine Physician
  • Lake City, IA
National Provider Identifier
1487764957
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3769 Issued in IA
Practice address
1351 W Main St
Lake City, IA 51449-1585
Phone
(712) 464-7907
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 05-31486 KS
Family Medicine Physician 207Q00000X 05-31486 KS
Family Medicine Physician 207Q00000X 3769 IA Primary

Addresses

Primary practice location

1351 W Main St
Lake City, IA 51449-1585

Mailing address

1351 W Main St
Lake City, IA 51449-1585
Phone (712) 464-7907

Other identifiers 1

IdentifierTypeStateIssuer
200358810CMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000528 IA Practitioner - Family PracticePractitioner - Emergency Medicine 9638199938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stewart Memorial Community HospitalGroup PAC ID 4486563707, shared by 6 NPIs, 36 clinicians

Practice addresses (Care Compare)

1301 W Main St
Lake City, IA 51449-1585
Phone (712) 464-3171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as group
Quality
90
Promoting interoperability
84
Improvement activities
40
Cost
71.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3769IAMDFamily Medicine Physician
05-31486KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Memorial Community Hospital CurrentSince Aug 1, 2026 Accepting new patients
Stewart Memorial Community Hospital CurrentSince Jul 16, 2007 Accepting new patients
Stewart Memorial Community Hospital Family Medicine Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Stewart Memorial Community Hospital Family Medicine CurrentSince Jul 16, 2007 Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients
Stewart Memorial Community Hospital Family Medicine Past Accepting new patients
Rural Health Resources of Jackson Co Inc Family Medicine Past Accepting new patients

Locations

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

1351 W Main St
Lake City, IA 51449
Phone (712) 464-7907

1160 3rd St
Lake View, IA 51450
Phone (712) 657-3304

Interoperability endpoints

  • Direct secure messaging: dduncan168001@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stewart Memorial Community HospitalLake City, IA, CCN 16Z350 Hospital Corporate Director
W-2 Managing Employee
Operational/Managerial Control		 Apr 1, 2024
Apr 1, 2024
Apr 1, 2024
Accura HealthcareLake City, IA, CCN 165082 Skilled nursing facility W-2 Managing Employee Apr 1, 2024
Stewart Memorial Clinic GowrieGowrie, IA, CCN 163475 Rural health clinic Corporate Director Apr 1, 2024
Stewart Memorial Clinic Lake ViewLake View, IA, CCN 168516 Rural health clinic Corporate Director
W-2 Managing Employee
Operational/Managerial Control		 Apr 1, 2024
Jan 1, 2018
Jan 1, 2018
Stewart Memorial Clinic Lake CityLake City, IA, CCN 168522 Rural health clinic Corporate Director
W-2 Managing Employee
Operational/Managerial Control		 Apr 1, 2024
Jan 1, 2018
Jan 1, 2018

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1487764957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 W MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491585",
            "telephone_number": "712-464-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W MAIN ST",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491585",
            "telephone_number": "712-464-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "DEREK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-31486",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-31486",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200358810C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, IA

Sources for this page

Verify at the official NPI Registry.