1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Internal Medicine
  6. NPI Profile

PHILIP ANDREW DURNEY III
NPI 1205360369
Internal Medicine in Philadelphia, PA

Active since April 16, 2017PECOS EnrolledAccepts Medicare Assignment
833 CHESTNUT ST, SUITE 220, PHILADELPHIA, PA 19107(215) 955-8465(215) 955-2516 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2020, Apr 16, 2017 (2 updates tracked since 2017).

About Philip Andrew Durney Iii NPPES

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

PHILIP ANDREW DURNEY III (NPI 1205360369) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD467823) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2017).

NPPES Registry Identity

NPI1205360369
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILIP ANDREW DURNEY III
Location Address833 CHESTNUT ST, SUITE 220Philadelphia, PA 19107-4414
Mailing Address833 Chestnut St, Suite 220Philadelphia, PA 19107-4414 · (215) 955-8465 · Fax (215) 503-2452
Phone(215) 955-8465
Fax(215) 955-2516
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2017
Enumeration DateApril 16, 2017
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1205360369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD467823
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
833 CHESTNUT ST, Philadelphia, PA 19107
Open in Google Maps ↗

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

Philip Andrew Durney Iii 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 ID4880963602
PECOS Enrollment IDI20200831001568
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
65 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services34 patients
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.
19 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

DR. JOHN W. CARUSO M.D.
Internal Medicine
833 CHESTNUT ST, SUITE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
MARY E BADURA M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (800) 326-7002
MS. ETHEL MARIE CLAIRE JOLICOEUR M.SC., M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 873-2083
VINCENZO BERGHELLA MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
833 CHESTNUT ST, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
DR. VICTOR A. DIAZ JR. M.D.
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6539
DR. MARC J. ALTSHULER M.D.
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190
DONA CHEN M.D.
Pediatrics
833 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (302) 651-4200
MS. CHRISTINA SUZANNE GIATROPOULOS M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 351-2331

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 Philip Durney's NPI number?

The NPI number for Philip Durney is 1205360369. It was assigned to this individual provider in the NPPES registry on April 16, 2017.

Where is Philip Durney located?

Philip Durney practices at 833 Chestnut St Suite 220, Philadelphia, PA 19107. The listed phone number is (215) 955-8465.

What is Philip Durney's specialty?

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

Is Philip Durney enrolled in Medicare?

Yes. Philip Durney 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 Philip Durney accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Philip Durney 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 Philip Durney affiliated with any hospitals?

According to CMS data, Philip Durney is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Philip Durney was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.