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    OpenPayerNPI Medicare & MedicaidWilliam Duncan
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    William Duncan — Billing Profile & Reimbursement Data

    NPI 1679516231 · Springfield, MO · Orthopaedic Surgery Physician

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    William Duncan is a orthopaedic surgery physician provider located in Springfield, Missouri. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Duncan
    Address3555 S National Ave
    CitySpringfield
    StateMO
    ZIP65807
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$130.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…70$940$60.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…230$90$19.9K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…20$1,010$16.1K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…90$110$9.7K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.190$20$4.1K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…20$260$4K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.210$20$3.2K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.230$10$3K
    20985A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…30$110$2.9K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…100$20$1.7K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274475125030$1,140$50.2K
    23472528020$840$24.3K
    992142,3198,960100$80$13.9K
    23430102010$490$8.3K
    992137,6568,73070$50$7K
    992152,2272,30030$110$6.8K
    29823203020$220$5.3K
    992045114,36030$100$4.8K
    2061074483060$40$4.6K
    2098551030$110$3.4K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with William Duncan, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lester E Cox Medical CentersMOGeneral Acute Care Hospital$0$112.3M
    Skaggs Community Hospital AssociationMOGeneral Acute Care Hospital$0$18.8M
    Lester E Cox Medical CentersMOFamily Medicine Physician$0$17M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Levent AkdumanMOOphthalmology Physician$3.1M$1.4M
    Juanita Golden-allenMOAcute Care Nurse Practitioner$2.9M$0
    Ibrahim AbdallaMORadiation Oncology Physician$352.8K$0
    Jooman ShimMOVascular & Interventional Radiology Physician$262K$0
    Philipp WiesnerMOInterventional Cardiology Physician$250.5K$0
    Joshua DimmickMODermatology Physician$209.2K$0

    Nearby Providers

    Other providers in the same ZIP code as William Duncan, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Supported Living And Employment Services, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$276.6M
    Easy Living Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$183.2M
    Healthcare Services Of The Ozarks, IncMOHome Health Agency$0$60.3M
    Mercy Clinic Springfield CommunitiesMOFamily Medicine Physician$0$51.5M
    Abilities FirstMOCase Management Agency$0$45.8M
    Southwest Center For Independent LivingMOIn Home Supportive Care Agency$0$45.3M
    Lester E Cox Medical CentersMOLand Ambulance$0$25.8M
    Seniorage Area Agency On AgingMOCase Management Agency$0$19.2M
    Maxim Healthcare Services, Inc.MOHome Health Agency$0$17.7M
    Phoenix Home Care, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$8.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    William Duncan — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri