Dr. William Duncan, MD
3555 S National Ave, Springfield, MO 65807 • +1-754-555-4155
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles
NPI #1679516231 • CBSA Regional • Orthopedic Surgery
Dr. William Duncan, MD (NPI #1679516231) practices Orthopedic Surgery in Springfield, MO (65807) with sub-specialty concentration in 82 Active CMS HCPCS Codes, recording 3,718 annual CMS services across 433 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (69.23th Springfield percentile) (-0.13σ vs MO state mean, 69.55th statewide percentile).
Fee-schedule auditing of NPI 1679516231 highlights 797 annual claims for 99213 (69.23th Springfield percentile; $87–$119 self-pay corridor) plus 598 encounters under 20610 and 421 under 73562.
Self-pay new patient consultations with Dr. Duncan (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 15-minute average reception wait, and a 4.85/5 modern protocol openness score across 21 patient logs.
NPI registry verification (#1679516231) confirms Dr. William Duncan's MD standing serving CBSA 65807 with a 4.70/5 patient scorecard.
Compared against Springfield, MO Orthopedic Surgery peers
3,718 annual services across 433 beneficiaries
Standard deviations from MO Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 797 | 69.23th | $87 – $119 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 598 | 64.23th | $93 – $127 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 421 | 68.23th | $52 – $71 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 244 | 64.23th | $125 – $171 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 155 | 64.23th | $805 – $1103 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (82 HCPCS billing breadth) | 1,504 | 69.23th | $98 – $142 |
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Dr. William Duncan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Duncan National Provider Identifier | NPI #1679516231 (MD) | CMS NPPES Registry (65807) |
| Dr. Duncan Springfield CMS Volume Rank | 69.23th Pct (3,718 CMS svcs; Z -0.133σ) | CMS Medicare Part B (MO Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Springfield, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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