Andrew T. Duncan
MBA · DPT · ATC · PhD Candidate
Healthcare executive at the intersection of clinical leadership, data analytics, and academic research.
About
I’ve spent my career at the place where clinical training meets institutional leadership — first as a physical therapist and athletic trainer, then across three decades of executive roles at some of the country’s leading academic health systems.
Today I serve as Vice President, Musculoskeletal Service Line and Chief Administrative Officer, Department of Orthopedic Surgery at Duke University Health System — a dual role spanning clinical operations, research, and two professional doctoral programs across a 23-site ambulatory network.
Outside of Duke, I’m the founder of Junto Analytics, a healthcare data venture that uses federally mandated price transparency data to illuminate the commercial reimbursement landscape for physicians — giving employed doctors access to the financial information that employment agreements have historically kept out of reach.
I’m also a PhD candidate at Florida Atlantic University’s College of Business, where my dissertation research applies simulation modeling and AI-enhanced scheduling to operating room efficiency. A companion book — Physician Compensation: A Comprehensive Guide — is nearing publication.
My career has been built on the conviction that rigorous data, applied honestly, changes the terms of consequential conversations. That’s as true in a health system boardroom as it is in a physician’s contract negotiation.
Career Highlights
Vice President & Chief Administrative Officer
Duke University Health System2026–presentDual executive role leading the Musculoskeletal Service Line and the Department of Orthopedic Surgery across a 23-site ambulatory network, inpatient services, PT/OT programs, and a substantial NIH-funded research portfolio.
Chief Operating Officer
Penn Medicine, Department of Orthopaedic Surgery2023–2026Operational and administrative leadership of the nation's #1 NIH-funded orthopaedic research lab; co-developed new clinical compensation and APP incentive plans; managed a multi-mission academic department serving 73 surgeons and 42 residents and fellows.
Chief Administrative Officer & Vice Chair
UF Health OSMI2012–2023Led a 50-surgeon, 200+ staff multi-specialty practice; concurrently served as Executive Director of PT/OT Services (300,000 visits/year) and Executive Director of Radiology Services ($400M+ revenue); established one of the first orthopaedic urgent care walk-in programs in an academic setting.
Executive Director, Musculoskeletal Service Line
UChicago Medicine2019–2020Physician-in-Chief dyad leadership of a comprehensive musculoskeletal center and system-wide service line.
Founder
Junto Analytics2025–presentBuilt proprietary data infrastructure connecting Hospital Price Transparency and Transparency in Coverage filings to physician compensation analytics — an analytical approach with no direct equivalent in existing trade survey or recruitment data sources.
PhD Candidate
Florida Atlantic University, College of Business2024–presentDoctoral research in AI-driven operational efficiency, physician labor markets, and healthcare finance.
Junto Analytics
A healthcare data venture I founded to close the information gap between what health systems know about commercial reimbursement and what employed physicians can access about their own production.
Junto Analytics applies federally mandated price transparency data — Hospital Price Transparency and Transparency in Coverage filings — to physician compensation analysis through the wRVU framework.
The result is a continuously updated view of commercial reimbursement that physicians can use to understand, contextualize, and negotiate their employment agreements with the same information their employers have always had.
Named for Benjamin Franklin’s 1727 mutual improvement club, Junto is built on the conviction that better information leads to better outcomes — for physicians and for the patients they serve.
Research & Scholarship
Current Research
Operating Room Efficiency: The Role of Simulation and AI-Enhanced Scheduling to Optimize Utilization
PhD dissertation, Florida Atlantic University — in progress
Applies SimPy-based discrete event simulation and AI-enhanced scheduling models to OR utilization — bridging computational methods with the operational realities of academic surgical programs.
Predictors of Fall Risk in Adults Aged 40–69: An Analysis of NHANES 2001–2002 and 2021–2023 Cycles
In progress
Selected Publications
- Duncan, A.T. Physician Compensation: A Comprehensive Guide. Junto Analytics, LLC. Manuscript completed; self-publication forthcoming.
- Gray CF, Prieto HA, Duncan AT, Parvataneni HK. Arthroplasty Care Redesign Related to the Comprehensive Care for Joint Replacement Model. Arthroplasty Today, 2018.
- Houck J, Duncan A, De Haven K. Knee and Hip Angle and Moment Adaptations during Cutting Tasks in Subjects with ACL Deficiency Classified as Non-Copers. J Orthop Sports Phys Ther. 35(8), 2005.
- Houck JR, Duncan A, DeHaven KE. Comparison of frontal plane trunk kinematics and hip and knee moments during anticipated and unanticipated walking and side step cutting tasks. Gait Posture, 2005.
Full publication list available in CV.
Past Research & Grants
- Greater Rochester Health Foundation Grant — Non-contact ACL injury prevention in female high school athletes (PEP program, 38 schools, $300,000 award, 2008; renewed 2011).
- Excellus Blue Cross Blue Shield Community Grant — ACL injury rates in 12 local high schools (2006).
Book
Physician Compensation: A Comprehensive Guide
Andrew T. Duncan, MBA, DPT, ATC
Published by Junto Analytics, LLC
A reference work on physician compensation methodology — how production is measured, how commercial reimbursement flows, and how employed physicians can interpret and negotiate the terms of their compensation agreements.
Drawing on decades of executive experience across leading academic health systems and the analytical infrastructure of Junto Analytics, this guide provides the framework physicians need to understand the economics of their employment.
Notify me on publication