GARRET DURON
NPI 1053894774
Internal Medicine in Birmingham, AL
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Garret Duron reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baton Rouge, LA 70816
- Reassigned Medicare billing, Alabama enrollment
- 229 clinicians in this Medicare group
Linville, NC 28646
- Reassigned Medicare billing, North Carolina enrollment
- 54 clinicians in this Medicare group
Boone, NC 28607
- Reassigned Medicare billing, North Carolina enrollment
- 207 clinicians in this Medicare group
Boone, NC 28607
- Reassigned Medicare billing, North Carolina enrollment
- 39 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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Watauga Medical Center
Acute Care Hospitals · Boone, NCCharles A Cannon Jr Memorial Hospital
Critical Access Hospitals · Linville, NCAshe Memorial Hospital
Critical Access Hospitals · Jefferson, NCPhysician 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.
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.
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.
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
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.
Which organizations bill Medicare for Garret Duron's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Garret Duron reassigns Medicare benefits to 4 organizations: Hospital Medicine Associates LLC (Baton Rouge, LA), Charles A. Cannon, Jr. Memorial Hospital, Inc. (Linville, NC), Appalachian Regional Medical Associates, Inc. (Boone, NC) and Watauga Medical Center Inc (Boone, NC). Each 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 Garret Duron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Garret Duron accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare 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, 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 3 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.
# Garret Duron · NPI 1053894774
Internal Medicine physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since September 9, 2018.
## Identity
- **NPI:** 1053894774 (Entity type: Individual)
- **Enumerated:** September 9, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 46431 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 6TH AVE S, Birmingham, AL 35233-2110
- **Phone:** (205) 996-5864
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Hospital Medicine Associates LLC (NPI 1093758781, Baton Rouge, LA); Charles A. Cannon, Jr. Memorial Hospital, Inc. (NPI 1477006385, Linville, NC); Appalachian Regional Medical Associates, Inc. (NPI 1669533923, Boone, NC); Watauga Medical Center Inc (NPI 1205859766, Boone, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mercer University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 30, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1053894774) · Data from the CMS NPPES public registry.