Medicare Enrolled

Dr. James Duncan, MD

Dermatology · Powell, OH
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
25 HIDDEN RAVINES DR, Powell, OH 43065
6147771200
Registered in NPPES since 2016
NPI: 1922460500 verify on NPPES ↗
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. James Duncan is a dermatology specialist in Powell, OH, with 10 years of NPI registration. Based on federal Medicare data, Dr. Duncan performed 1,054 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Duncan received a total of $5,000 from 31 pharmaceutical and/or device companies across 269 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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.

✓ 10 years of NPI registration ▲ 1,054 Medicare services $5,000 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,054
Medicare services
Bottom 29% in OH for dermatology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$189
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Skin growth removal and lab exam, 1-5 blocks
This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory.
167 $435 $974
Destruction of precancerous skin growths, 2-14
This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer.
160 $5 $14
Intermediate wound repair, 2.6-7.5 cm
A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing.
127 $181 $440
Complicated wound repair, 2.6-7.5 cm
A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet.
94 $180 $692
Skin growth removal and lab exam, 1-5 blocks
A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination.
68 $450 $915
Surgical removal of skin cancer, 1.1-2.0 cm
Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs.
63 $92 $354
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 58 $306 $592
Destruction of precancerous skin growth, 1
Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer.
52 $31 $100
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
51 $59 $132
Skin biopsy, tangential
A procedure to remove a sample of the first identified skin growth for laboratory examination.
48 $61 $150
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
41 $61 $164
Additional skin growth biopsy
Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session.
23 $31 $75
Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm
A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length.
16 $160 $624
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.
14 $79 $189
Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less
A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less.
13 $583 $900
Additional Mohs surgery stage with microscopic exam
This procedure involves the removal and microscopic examination of an additional stage of tissue from the trunk, arms, or legs. It is performed in stages to ensure complete removal of the growth.
13 $295 $566
Removal of noncancer skin growth, 1.1-2.0 cm
This procedure involves the surgical removal of a benign skin growth located on the body, arms, or legs. The growth measured between 1.1 and 2.0 centimeters in diameter.
12 $65 $252
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
12 $116 $246
Intermediate wound repair, 7.6-12.5 cm
This procedure involves stitching a wound on the scalp, underarms, trunk, arms, or legs that measures between 7.6 and 12.5 centimeters. It includes cleaning the wound and closing it with sutures to promote healing.
11 $160 $491
Complex repair of eyelid, nose, ear, or lip wound, 2.6-7.5 cm
A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 2.6 and 7.5 centimeters.
11 $188 $732
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. These counts do not measure clinical quality or years of experience.
1.2% high complexity
6.7% medium
92.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,000
Total received (2018-2024)
Avg $714/year across 7 years
Top 36% in OH for dermatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
269
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,590
2023
$1,344
2022
$1,091
2021
$353
2020
$192
2019
$309
2018
$121

Payments by company (2024)

ABBVIE INC.
$367
PFIZER INC.
$170
Arcutis Biotherapeutics, Inc.
$138
Incyte Corporation
$131
Janssen Biotech, Inc.
$103
Regeneron Healthcare Solutions, Inc.
$97
GENZYME CORPORATION
$95
UCB, Inc.
$91
MAYNE PHARMA COMMERCIAL LLC
$78
E.R. Squibb & Sons, L.L.C.
$73
Dermavant Sciences, Inc.
$68
Lilly USA, LLC
$32
Novartis Pharmaceuticals Corporation
$32
Galderma Laboratories, L.P.
$30
Amgen Inc.
$27
Ortho Dermatologics, a division of Bausch Health US, LLC
$20
Organogenesis Inc.
$20
SUN PHARMACEUTICAL INDUSTRIES INC.
$19
Top 3 companies account for 42.4% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$690
Regeneron Healthcare Solutions, Inc.
$422
AbbVie Inc.
$407
PFIZER INC.
$316
Lilly USA, LLC
$301
GENZYME CORPORATION
$254
Janssen Biotech, Inc.
$237
Allergan Inc.
$219
Arcutis Biotherapeutics, Inc.
$182
UCB, Inc.
$174
Dermavant Sciences, Inc.
$167
MAYNE PHARMA COMMERCIAL LLC
$157
Amgen Inc.
$153
Incyte Corporation
$148
Journey Medical Corporation
$125
Helsinn Therapeutics (U.S.), Inc.
$122
E.R. Squibb & Sons, L.L.C.
$118
LEO Pharma Inc.
$106
Ortho Dermatologics, a division of Bausch Health US, LLC
$97
Novartis Pharmaceuticals Corporation
$94
Galderma Laboratories, L.P.
$93
Sun Pharmaceutical Industries Inc.
$90
AbbVie, Inc.
$90
SUN PHARMACEUTICAL INDUSTRIES INC.
$59
Organogenesis Inc.
$57
Almirall LLC
$38
Verrica Pharmaceuticals Inc.
$20
Medimetriks Pharmaceuticals, Inc.
$19
Fresenius Kabi USA, LLC
$18
Stemline Therapeutics Inc.
$14
ANI Pharmaceuticals, Inc.
$14
Top 3 companies account for 30.4% of all-time payments
Associated products mentioned in payments ›
ADBRY · AKLIEF · ARAZLO · Bimzelx · CIBINQO · COSENTYX · Cabtreo · Cimzia · DUOBRII · DUPIXENT · ELZONRIS · EPSOLAY · EUCRISA · HUMIRA · ILUMYA · Ilumya · Klisyri · LIBTAYO · LITFULO · Neo-Synalar · OPZELURA · Otezla · Puraply · RINVOQ · SKYRIZI · Skyrizi · Sotyktu · TALTZ · TREMFYA · TWYNEO · VALCHLOR · VTAMA · Veregen · Winlevi · YCANTH · Zoryve
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a dermatology specialist in Powell?
Compare dermatologists in the Powell area by procedure volume, costs, and industry payment transparency.
Browse dermatologists nearby

Geographic Context

Dermatologists in nearby ZIP areas
96
County median income
$130,088
Nearest hospital to ZIP centroid (approximate)
DUBLIN METHODIST HOSPITAL
6.3 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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 moderate Medicare volume.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Duncan experienced with skin growth removal and lab exam, 1-5 blocks?
Based on Medicare claims data, Dr. Duncan performed 167 skin growth removal and lab exam, 1-5 blocks services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Duncan receive payments from pharmaceutical companies?
Yes. Dr. Duncan received a total of $5,000 from 31 companies across 269 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 dermatologists in Powell?
Dr. Duncan's average Medicare payment per service is $189. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →