1. Home
  2. Directory
  3. Pennsylvania
  4. Conshohocken
  5. Physician Assistant
  6. NPI Profile

FERNANDO DURAN
NPI 1114624954
Physician Assistant in Conshohocken, PA

Active since February 13, 2023PECOS EnrolledAccepts Medicare Assignment
48A E RIDGE PIKE, CONSHOHOCKEN, PA 19428(484) 243-6735 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2023, Feb 13, 2023 (2 updates tracked since 2023).

About Fernando Duran NPPES

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

FERNANDO DURAN (NPI 1114624954) is an individual physician assistant in Conshohocken, Pennsylvania, licensed in Pennsylvania (MA066312) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lodi, and is a graduate of University Of California, Davis School Of Medicine (2023).

NPPES Registry Identity

NPI1114624954
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameFERNANDO DURAN
Location Address48A E RIDGE PIKEConshohocken, PA 19428-2117
Mailing Address2570 48th StSacramento, CA 95817-1541
Phone(484) 243-6735
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2023
Enumeration DateFebruary 13, 2023
Last NPPES UpdateApril 15, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1114624954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA066312
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
48A E RIDGE PIKE, Conshohocken, PA 19428
Open in Google Maps ↗

Secondary Practice Location 1

Location 1975 S Fairmont AveLodi, CA 95240-5118 · Phone (209) 334-3411

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Fernando Duran 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 ID6901259068
PECOS Enrollment IDI20250408000431
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services49 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19428 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

MHP MD PLLC
Clinic/Center (Urgent Care)
48A E RIDGE PIKE
CONSHOHOCKEN, PA 19428
Montgomery County (484) 243-6730

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 Fernando Duran's NPI number?

The NPI number for Fernando Duran is 1114624954. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Fernando Duran located?

Fernando Duran practices at 48A E Ridge Pike, Conshohocken, PA 19428. The listed phone number is (484) 243-6735.

What is Fernando Duran's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fernando Duran enrolled in Medicare?

Yes. Fernando 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 Fernando Duran accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Fernando 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.

When was this NPI record last updated?

The NPPES record for Fernando Duran was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.