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Sports Medicine • Philadelphia, PA 19107 • NPI #1588993596

Dr. Michael Duncan, MD

925 Chestnut St, 5th Floor, Philadelphia, PA 19107 • +1-347-555-3463

Medical Education: Accredited U.S. Medical School (Class of 1996)

28 Active CMS HCPCS Codes
4.78/5
Waiting-Room Score
25 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Philadelphia Percentiles

NPI #1588993596 • CBSA Regional • Sports Medicine

Dr. Michael Duncan DotMD Verification Badge

Operating out of Philadelphia, PA (925 Chestnut St, 5th Floor), Sports Medicine clinician Dr. Michael Duncan, MD (accredited MD/DO training, 1996) maintains a mid-cohort balanced caseload (55.56th Philadelphia percentile) (73.12th PA percentile; Z-score +0.14σ across 7,201 documented services) with sub-specialty concentration in 28 Active CMS HCPCS Codes.

Procedural volume for Dr. Duncan is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 406 annual services, $43–$60 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 235/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 117/yr).

Self-pay new patient consultations with Dr. Duncan (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.79/5 modern protocol openness score across 25 patient logs.

Patients evaluating Dr. Michael Duncan in ZIP 19107 note 30 years of post-doctoral tenure (null, 1996) alongside 22.3 annual CMS procedures per patient.

Philadelphia Percentile 55.56th

Compared against Philadelphia, PA Sports Medicine peers

PA State Percentile 73.12th

7,201 annual services across 323 beneficiaries

Regional Volume Z-Score +0.138σ

Standard deviations from PA Sports Medicine mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99214 Moderate-to-High Complexity Internal Medicine Follow-Up 406 55.56th $43 – $60
99213 Established Preventive & Chronic Care Visit 235 52.56th $33 – $48
93000 In-Office 12-Lead Resting Electrocardiogram 117 52.56th $25 – $40
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 90 56.56th $51 – $70
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 54 50.56th $60 – $83
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (28 HCPCS billing breadth) 6,298 55.56th $45 – $65
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Dr. Michael Duncan, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Duncan National Provider Identifier NPI #1588993596 (MD) CMS NPPES Registry (19107)
Dr. Duncan Philadelphia CMS Volume Rank 55.56th Pct (7,201 CMS svcs; Z +0.138σ) CMS Medicare Part B (PA Sports Medicine)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Philadelphia, PA)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 21 min lobby wait 25 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.75/5 Listening • 4.79/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
21 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.75/5
Patient communication rating
Modern Protocol Openness
4.79/5
Preventive labs, GLP-1s & HRT
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