Medicare Enrolled
Dr. Casey Duncan, MD
Radiology - Diagnostic · Effingham, IL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Duncan from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Duncan
Dr. Casey Duncan is a radiology - diagnostic specialist in Effingham, IL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Duncan performed 11,777 Medicare services across 2,462 unique beneficiaries.
Between the years covered by Open Payments, Dr. Duncan received a total of $228 from 9 pharmaceutical and/or device companies across 12 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiology - diagnostic. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Duncan is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 1% volume in IL
$228 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,777
Medicare services
Top 1% in IL for radiology - diagnostic
2,462
Unique beneficiaries
$99
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~620 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
5,350 | $0 | $3 |
| Intensity-modulated radiation therapy delivery Delivery of radiation therapy using narrow beams that are spatially and temporally modulated to target specific areas. This process is performed per treatment session. |
1,114 | $261 | $2,469 |
| Radiation therapy, 3+ areas, complex techniques, up to 5 MeV This procedure delivers radiation treatment to three or more separate areas using advanced techniques such as custom blocking, tangential ports, wedges, rotational beams, and compensators. The radiation energy used is up to 5 million electron volts (MeV). |
815 | $172 | $454 |
| Continuing radiation therapy consultation per week A weekly consultation to review and manage ongoing radiation therapy treatment. |
429 | $63 | $431 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
416 | $86 | $200 |
| Radiation treatment management, 5 sessions Oversight and management of a radiation therapy course consisting of five treatment sessions. |
385 | $147 | $1,045 |
| Design and construction of complex radiation treatment device This code covers the design and construction of a complex radiation treatment device. It does not specify the clinical purpose or conditions treated. |
333 | $94 | $753 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
286 | $8 | $24 |
| Calculation of radiation therapy dose | 253 | $50 | $400 |
| PSA test (prostate cancer screening) | 229 | $18 | $125 |
| Cranial lesion radiation therapy Treatment of a brain lesion using radiation delivered over multiple sessions. |
163 | $731 | $7,602 |
| Complex radiation therapy planning | 153 | $131 | $1,127 |
| Piflufolastat F-18 diagnostic injection A diagnostic injection of the radioactive tracer piflufolastat F-18 used for imaging. The dose specified is 1 millicurie. |
153 | $486 | $1,228 |
| New patient office visit, complex (60-74 min) | 145 | $169 | $450 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 135 | $134 | $4,159 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
107 | $10 | $73 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
100 | $16 | $119 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
99 | $29 | $279 |
| Design and construction of radiation treatment device This code covers the design and construction of a device used for high precision radiation therapy. It does not include the actual administration of radiation treatment. |
88 | $348 | $2,137 |
| Manual white blood cell count A laboratory test that involves examining a sample under a microscope to manually count the number of white blood cells present. |
86 | $4 | $27 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
86 | $6 | $43 |
| High precision radiation therapy planning This procedure involves the detailed planning and setup required for delivering high-precision radiation therapy to a target area of the body. |
85 | $1,356 | $6,120 |
| Radiation treatment planning, complex This procedure involves obtaining the necessary data to develop an optimal radiation treatment plan for three or more treatment areas, or any number of areas requiring special treatment. |
78 | $333 | $1,998 |
| Radiation treatment planning, 1 area This procedure involves gathering the necessary data to design the most effective radiation therapy plan for a single treatment area. |
70 | $198 | $815 |
| X-ray during radiation therapy An X-ray image taken while radiation therapy is being administered to verify treatment positioning. |
70 | $10 | $128 |
| Complex radiation therapy planning This procedure involves the detailed planning required to deliver external beam radiation therapy to a patient. |
61 | $215 | $1,660 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
57 | $25 | $79 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
42 | $58 | $1,019 |
| Special radiation treatment | 41 | $106 | $2,062 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
41 | $5 | $32 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
41 | $4 | $28 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
41 | $25 | $117 |
| Nuclear medicine scan from skull base to mid-thigh with CT A nuclear medicine imaging study covering the area from the base of the skull to the middle of the thighs, performed alongside a CT scan. |
38 | $1,065 | $6,000 |
| Respiratory data collection for radiation therapy planning This procedure involves gathering respiratory data to help develop the optimal radiation treatment plan. |
36 | $305 | $2,133 |
| Fractionated radiation therapy for cranial lesion Treatment using radiation delivered in multiple sessions to manage a lesion in the head. |
36 | $496 | $3,929 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
32 | $135 | $300 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
27 | $8 | $47 |
| Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 22 | $414 | $780 |
| 3D radiation therapy planning This procedure involves creating a three-dimensional treatment plan for radiation therapy. It uses imaging data to map the target area and surrounding tissues to guide precise radiation delivery. |
19 | $359 | $800 |
| Special radiation therapy planning This procedure involves specialized planning for the delivery of external beam radiation therapy. |
15 | $71 | $818 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$228
Total received (2018-2024)
Avg $33/year across 7 years
Bottom 35% in IL for radiology - diagnostic
9
Companies
12
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$228 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$63
2023
$18
2022
$68
2021
$17
2020
$20
2019
$20
2018
$22
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$29
Amneal Pharmaceuticals LLC
$20
TELA Bio, Inc.
$14
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$47
Janssen Biotech, Inc.
$44
Ethicon US, LLC
$43
Amneal Pharmaceuticals LLC
$20
Allergan Inc.
$20
Gilead Sciences, Inc.
$17
TELA Bio, Inc.
$14
Heron Therapeutics, Inc.
$12
Celgene Corporation
$11
Top 3 companies account for 59.1% of all-time payments
Associated products mentioned in payments ›
AVASTIN · CINVANTI · ERLEADA · LUTATHERA · MONOCRYL · OviTex 2S · PLUVICTO · STRATTICE · Trodelvy
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Radiology - diagnostics within 10 mi
1
Per 100K population
2.9
County median income
$75,380
Nearest hospital
ST ANTHONYS MEMORIAL HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Duncan is a mixed practice specialist, with above-average Medicare volume (top 1% in IL), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Duncan experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Duncan performed 5,350 contrast dye for imaging (iodine-based) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Duncan receive payments from pharmaceutical companies?
Yes. Dr. Duncan received a total of $228 from 9 companies across 12 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Duncan's costs compare to other radiology - diagnostics in Effingham?
Dr. Duncan's average Medicare payment per service is $99. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Duncan) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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