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GUADALUPE DURAN MD
NPI 1013303916
Emergency Medicine in Laredo, TX

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
79.58/100
CMS Quality Rating
1700 E SAUNDERS ST # ED, LAREDO, TX 78041(956) 796-5000 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Guadalupe Duran Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUADALUPE DURAN MD (NPI 1013303916) is an individual emergency medicine provider in Laredo, Texas, licensed in Texas (R6178) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Laredo Medical Center, and is a graduate of New York Medical College (2013).

NPPES Registry Identity

NPI1013303916
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGUADALUPE DURANCredential: MD
Location Address1700 E SAUNDERS ST # EDLaredo, TX 78041-5474
Mailing Address7902 E Country Dr Apt 426Laredo, TX 78045-9016 · (917) 636-2230
Phone(956) 796-5000
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2013
Enumeration DateApril 8, 2015
Last NPPES UpdateOctober 10, 2018
✔ NPI 1013303916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · R6178
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1700 E SAUNDERS ST # ED, Laredo, TX 78041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Baylor Scott and White Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Guadalupe Duran Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961700554
PECOS Enrollment IDI20180508000851
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.22
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guadalupe Duran's NPI number?

The NPI number for Guadalupe Duran is 1013303916. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Guadalupe Duran located?

Guadalupe Duran practices at 1700 E Saunders St # Ed, Laredo, TX 78041. The listed phone number is (956) 796-5000.

What is Guadalupe Duran's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Guadalupe Duran enrolled in Medicare?

Yes. Guadalupe Duran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Guadalupe Duran accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan and 2 other insurers list Guadalupe Duran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Guadalupe Duran affiliated with any hospitals?

According to CMS data, Guadalupe Duran is affiliated with Laredo Medical Center.

When was this NPI record last updated?

The NPPES record for Guadalupe Duran was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.