Dr. Thomas Duncan, MD
200 Theda Clark Medical Plz Ste 240, Neenah, WI 54956 • +1-378-555-1823
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Neenah Percentiles
NPI #1588641039 • CBSA Regional • Internal Medicine
Anchored in Neenah, WI 54956, Dr. Thomas Duncan, MD (NPI 1588641039) logged 2,515 annual procedures (mid-cohort balanced caseload (62.5th Neenah percentile), 81.75th WI percentile, +0.01σ) with sub-specialty concentration in 66 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1588641039 highlights 1070 annual claims for 99214 (62.5th Neenah percentile; $60–$83 self-pay corridor) plus 618 encounters under 99213 and 309 under 93000.
Direct cash-pay transparency modeling sets Dr. Duncan's baseline new-consult rate near $209.00 in Neenah, WI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 17-minute average reception wait).
Clinical background for Dr. Duncan (MD, NPI #1588641039) includes accredited doctoral training (2002, 24 yrs in practice) and virtual + in-office availability across WI.
Compared against Neenah, WI Internal Medicine peers
2,515 annual services across 223 beneficiaries
Standard deviations from WI Internal 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 | 1,070 | 62.5th | $60 – $83 |
| 99213 | Established Preventive & Chronic Care Visit | 618 | 61.5th | $46 – $63 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 309 | 57.5th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 238 | 59.5th | $71 – $97 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 143 | 66.5th | $84 – $115 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (66 HCPCS billing breadth) | 138 | 62.5th | $54 – $78 |
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Dr. Thomas Duncan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Duncan National Provider Identifier | NPI #1588641039 (MD) | CMS NPPES Registry (54956) |
| Dr. Duncan Neenah CMS Volume Rank | 62.50th Pct (2,515 CMS svcs; Z +0.009σ) | CMS Medicare Part B (WI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Neenah, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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