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BREANNA LYNN DURBIN MD
NPI 1023570629
Surgery in Bolivia, NC

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
257 HOSPITAL DR NE STE 200, BOLIVIA, NC 28422(910) 721-4000(910) 721-4001 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, Apr 2, 2019 (2 updates tracked since 2019).

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

NPI1023570629
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameBREANNA LYNN DURBINCredential: MD
Location Address257 HOSPITAL DR NE STE 200Bolivia, NC 28422-8411
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 721-4000 · Fax (910) 721-4001
Phone(910) 721-4000
Fax(910) 721-4001
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1023570629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2024-00566
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 250876 (NC)
257 HOSPITAL DR NE STE 200, Bolivia, NC 28422
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Secondary Practice Location 1

Location 12131 S 17th StWilmington, NC 28401-7407 · Phone (910) 343-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

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.

PECOS PAC ID3779818489
PECOS Enrollment IDI20240828003657
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.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

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, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEX GRAYSON FLETCHER
Surgery
257 HOSPITAL DR NE STE 200
BOLIVIA, NC 28422
Brunswick County (910) 721-4000

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.

What insurance does Breanna Durbin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC 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.