BREANNA LYNN DURBIN MD
NPI 1023570629
Surgery in Bolivia, NC
About Breanna Lynn Durbin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA LYNN DURBIN MD (NPI 1023570629) is an individual surgery provider in Bolivia, North Carolina, licensed in North Carolina (2024-00566) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and maintains a secondary practice location in Wilmington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Breanna Lynn Durbin 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.
Medicare Billing Reassignment
Medicare enrollment records show Breanna Durbin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bolivia, NC 28422
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health New Hanover Regional Medical Center
Acute Care Hospitals · Wilmington, NCNovant Health Brunswick Medical Center
Acute Care Hospitals · Supply, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Breanna Durbin's NPI number?
The NPI number for Breanna Durbin is 1023570629. It was assigned to this individual provider in the NPPES registry on April 2, 2019.
Where is Breanna Durbin located?
Breanna Durbin practices at 257 Hospital Dr NE Ste 200, Bolivia, NC 28422. The listed phone number is (910) 721-4000.
What is Breanna Durbin's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Breanna Durbin enrolled in Medicare?
Yes. Breanna Durbin 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.
Which organization bills Medicare for Breanna Durbin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Durbin reassigns Medicare benefits to Novant Health Medical Group, LLC (Bolivia, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Breanna Durbin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Breanna Durbin accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Breanna Durbin 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 Breanna Durbin affiliated with any hospitals?
According to CMS data, Breanna Durbin is affiliated with Novant Health New Hanover Regional Medical Center and Novant Health Brunswick Medical Center.
When was this NPI record last updated?
The NPPES record for Breanna Durbin was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Breanna Lynn Durbin, MD · NPI 1023570629
Surgery physician in Bolivia, North Carolina. Individual provider, active in the CMS NPPES registry since April 2, 2019.
## Identity
- **NPI:** 1023570629 (Entity type: Individual)
- **Enumerated:** April 2, 2019
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 2024-00566 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 257 HOSPITAL DR NE STE 200, Bolivia, NC 28422-8411
- **Phone:** (910) 721-4000 · **Fax:** (910) 721-4001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Novant Health Medical Group, LLC (NPI 1265778278, Bolivia, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 31, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1023570629) · Data from the CMS NPPES public registry.