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DR. BORA ABDULLAH DURUMAN MD
NPI 1235163213
Obstetrics & Gynecology in Edenton, NC

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
203 EARNHART DR, EDENTON, NC 27932(252) 482-2134(252) 482-2059 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 20, 2024, Jun 4, 2021 (2 updates tracked since 2021).

About Dr. Bora Abdullah Duruman Md NPPES

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

DR. BORA ABDULLAH DURUMAN MD (NPI 1235163213) is an individual obstetrics & gynecology provider in Edenton, North Carolina, licensed in North Carolina (9800850) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Washington County Hosp Inc, and is a graduate of Virginia Commonwealth University, School Of Medicine (1998).

NPPES Registry Identity

NPI1235163213
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. BORA ABDULLAH DURUMANCredential: MD
Location Address203 EARNHART DREdenton, NC 27932-8401
Mailing AddressPo Box 569Edenton, NC 27932-0569 · (252) 482-2134 · Fax (252) 482-2059
Phone(252) 482-2134
Fax(252) 482-2059
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1998
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
✔ NPI 1235163213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 9800850
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
203 EARNHART DR, Edenton, NC 27932
Open in Google Maps ↗

Accepted Insurance

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

Dr. Bora Abdullah Duruman 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 ID4880630995
PECOS Enrollment IDI20050629000428
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Bora Duruman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centennial Housing & Community Services Corporation
16 mi
Emergency Medicine
958 US HIGHWAY 64 E
Plymouth, NC 27962
  • Reassigned Medicare billing, North Carolina enrollment
  • 24 clinicians in this Medicare group
NPI 1902412729 (252) 793-4135
Dlp Maria Parham Physician Practices LLC
94 mi
Rural Health
1501 N BICKETT BLVD STE D
Louisburg, NC 27549
  • Reassigned Medicare billing, North Carolina enrollment
  • 178 clinicians in this Medicare group
NPI 1184318297 (919) 497-8380
Dlp Frye Medical Group LLC
262 mi
Internal Medicine
1105 FAIRGROVE CHURCH RD SE
Conover, NC 28613
  • Reassigned Medicare billing, North Carolina enrollment
  • 228 clinicians in this Medicare group
NPI 1962941773 (828) 267-0551
Dlp Western Carolina Physician Practices LLC
357 mi
Diagnostic Radiology
262 LEROY GEORGE DR
Clyde, NC 28721
  • Reassigned Medicare billing, North Carolina enrollment
  • 456 clinicians in this Medicare group
NPI 1932925062 (615) 920-7000

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Washington County Hosp Inc

Critical Access Hospitals · Plymouth, NC
OwnershipProprietary
CMS Certification Number341314
Location958 Us Hwy 64 EastPlymouth, NC 27962 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27932 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

CHOWAN PROFESSIONAL SERVICES, LLC
Surgery
203 EARNHART DR, SUITE B
EDENTON, NC 27932
Chowan County (252) 482-6836
BARTHOLOMEW J RESTA MD
Pediatrics
203 EARNHART DR
EDENTON, NC 27932
Chowan County (252) 482-7407
DR. RAID ABO-KAMIL M.D.
Pediatrics
203 EARNHART DR
EDENTON, NC 27932
Chowan County (252) 482-7407

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 Bora Duruman's NPI number?

The NPI number for Bora Duruman is 1235163213. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Bora Duruman located?

Bora Duruman practices at 203 Earnhart Dr, Edenton, NC 27932. The listed phone number is (252) 482-2134.

What is Bora Duruman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Bora Duruman enrolled in Medicare?

Yes. Bora Duruman 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 Bora Duruman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bora Duruman reassigns Medicare benefits to 4 organizations: Centennial Housing & Community Services Corporation (Plymouth, NC), Dlp Maria Parham Physician Practices LLC (Louisburg, NC), Dlp Frye Medical Group LLC (Conover, NC) and Dlp Western Carolina Physician Practices LLC (Clyde, 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 Bora Duruman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bora Duruman accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Bora Duruman 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 Bora Duruman affiliated with any hospitals?

According to CMS data, Bora Duruman is affiliated with Washington County Hosp Inc.

When was this NPI record last updated?

The NPPES record for Bora Duruman was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.