PAUL C. DURBIN M.D.
NPI 1255361218
Internal Medicine in Racine, WI
About Paul C. Durbin M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL C. DURBIN M.D. (NPI 1255361218) is an individual internal medicine provider in Racine, Wisconsin, licensed in Wisconsin (39523) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1995).
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 1
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
Paul C. Durbin M.d. 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.
Areas of Expertise CMS Part B claims 7
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Columbia St Mary's Hospital Milwaukee
Acute Care Hospitals · Milwaukee, WIAscension All Saints Hospital
Acute Care Hospitals · Racine, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIAurora Medical Center Kenosha
Acute Care Hospitals · Kenosha, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53405 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.
Referred Medical Equipment & Supplies CMS DME claims 16
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Paul Durbin's NPI number?
The NPI number for Paul Durbin is 1255361218. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Paul Durbin located?
Paul Durbin practices at 3807 Spring St, Racine, WI 53405. The listed phone number is (262) 687-8300.
What is Paul Durbin's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Paul Durbin enrolled in Medicare?
Yes. Paul Durbin 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 Paul Durbin accept?
Health plans from Anthem Blue Cross and Blue Shield and Network Health list Paul Durbin 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 Paul Durbin affiliated with any hospitals?
According to CMS data, Paul Durbin is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension All Saints Hospital, Ascension SE Wisconsin Hospital, Froedtert Memorial Lutheran Hospital and Aurora Medical Center Kenosha.
When was this NPI record last updated?
The NPPES record for Paul Durbin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
