Physician

Anthony Duncan, DO

According to 2025 Medicare claims, Anthony Duncan, DO (NPI: 1497240709) practices family practice in the Grand Forks, ND-MN market, with the plurality of this provider's patient population coming from Polk, MN. This provider's primary affiliated billing organization is ALTRU HEALTH SYSTEM (NPI: 1760494330; TIN: 450310462) and primary practice location at 56716-1808. Duncan is affiliated with the CVS ACO (ACO ID: A5407), Essentia Health ACO, Inc. (ACO ID: A5617), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Duncan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 324 traditional Medicare patients, billed 1,339 HCPCS/CPT codes, and received $71,839 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 11,681 prescription claims across 476 beneficiaries totaling $801,173 in drug costs, led by Xifaxan (Rifaximin). DME data shows 287 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $2,863 to $801,173. For DME billing, reported payments moved sharply higher in recent years, from $2,783 to $26,308.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	241	536	$33,305
2022	368	2,432	$69,053
2023	391	1,258	$70,599
2024	324	1,339	$71,839

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	21	39	$2,863
2019	24	89	$1,325
2020	46	149	$5,411
2021	249	1,184	$80,644
2022	437	7,316	$458,347
2023	536	9,679	$603,081
2024	476	11,681	$801,173

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	40	$2,322
2021	N/R	46	$2,950
2022	26	193	$9,693
2023	27	147	$8,785
2024	103	287	$23,404

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	143	143	$126
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	353	$60
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	154	253	$40
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$18
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	74	180	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xifaxan	Rifaximin	23	690	$75,386
Jardiance	Empagliflozin	84	3,691	$73,468
Eliquis	Apixaban	77	3,590	$72,053
Ozempic	Semaglutide	45	1,465	$48,884
Januvia	Sitagliptin Phosphate	49	2,430	$44,182

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	23	$10,683
J1817	Insulin for administration through dme (i.e., insulin pump) per 50 units	N	N/R	19	$2,426
J7606	Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms	N	N/R	13	$1,974
A5500	For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe	N	14	14	$1,777
A7030	Full face mask used with positive airway pressure device, each	N	N/R	17	$1,335

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Anthony Duncan, DO?

Tedicare shows public-source Medicare data for Anthony Duncan, DO (NPI 1497240709), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Anthony Duncan, DO have ACO affiliation data?

Anthony Duncan, DO is shown with ACO affiliation data for CVS ACO (MSSP, ACO ID A5407), Essentia Health ACO, Inc. (MSSP, ACO ID A5617), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Anthony Duncan, DO?

Anthony Duncan, DO is linked to ALTRU HEALTH SYSTEM (billing NPI 1760494330) in the available physician profile data.

Does Anthony Duncan, DO have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.