GARRET DURON
NPI 1053894774
Internal Medicine in Birmingham, AL

Active since September 09, 2018PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
2000 6TH AVE S, BIRMINGHAM, AL 35233(205) 996-5864 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2023, Nov 7, 2022, Oct 17, 2022 and 3 more (6 updates tracked since 2018).

About Garret Duron NPPES

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

GARRET DURON (NPI 1053894774) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (46431) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and is a graduate of Mercer University School Of Medicine (2019).

NPPES Registry Identity

NPI1053894774
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGARRET DURON
Location Address2000 6TH AVE SBirmingham, AL 35233-2110
Mailing Address2000 6th Ave SBirmingham, AL 35233-2110
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2019
Enumeration DateSeptember 9, 2018
Last NPPES UpdateAugust 30, 20236 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1053894774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in AL · 46431 Licensed in NH · 22565
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2000 6TH AVE S, Birmingham, AL 35233

Accepted 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

Garret Duron 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 ID1759619711
PECOS Enrollment IDI20250912002359
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341323
Location434 Hospital DriveLinville, NC 28646 · Avery County
Emergency services

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341325
Location200 Hospital AveJefferson, NC 28640 · Ashe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Pharmacy (Specialty Pharmacy)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Pharmacist (Ambulatory Care)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Adult Health)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Family)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
2000 6TH AVE S, INTERVENTIONAL CARDIOLOGY/ STRUCTURAL HEART CLINIC
BIRMINGHAM, AL 35233

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 Garret Duron's NPI number?

The NPI number for Garret Duron is 1053894774. It was assigned to this individual provider in the NPPES registry on September 9, 2018.

Where is Garret Duron located?

Garret Duron practices at 2000 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 996-5864.

What is Garret Duron's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Garret Duron enrolled in Medicare?

Yes. Garret Duron 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 Garret Duron accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Garret Duron 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 Garret Duron affiliated with any hospitals?

According to CMS data, Garret Duron is affiliated with Watauga Medical Center, Unc Hospitals, Charles A Cannon Jr Memorial Hospital and Ashe Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Garret Duron was last updated on August 30, 2023. 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.