ADAM DURAN MD
NPI 1265675706
Family Medicine in Carthage, TX

Q: What is Adam Duran's NPI number?

The NPI number for Adam Duran is 1265675706. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Q: What is Adam Duran's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Duran was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment

702 DAVIS ST, CARTHAGE, TX 75633(903) 694-4824(903) 694-4621 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Adam Duran Md NPPES

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

ADAM DURAN MD (NPI 1265675706) is an individual family medicine provider in Carthage, Texas, licensed in Texas (P4306) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1265675706

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameADAM DURANCredential: MD

Location Address702 DAVIS STCarthage, TX 75633-1460

Mailing Address901 Turtle Creek DrTyler, TX 75701-1947 · (903) 596-3651 · Fax (903) 594-2038

Phone(903) 694-4824

Fax(903) 694-4621

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 14, 2009

Last NPPES UpdateSeptember 4, 2012

✔ NPI 1265675706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · P4306

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

702 DAVIS ST, Carthage, TX 75633

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Adam Duran 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 ID7517115439

PECOS Enrollment IDI20120919000274

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.

Hospital Affiliations CMS Care Compare 4

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450032

Location700 E Marshall AveLongview, TX 75601 · Gregg County

Emergency services Birthing friendly

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450083

Location1000 South Beckham AveTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Ut Health East Texas Carthage Hospital

Acute Care Hospitals · Carthage, TX

OwnershipProprietary

CMS Certification Number450210

Location409 Cottage RdCarthage, TX 75633 · Panola County

Emergency services

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX

OwnershipProprietary

CMS Certification Number450475

Location300 Wilson StreetHenderson, TX 75652 · Rusk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75633 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers38 claims88 services$6.20 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers12 claims20 services$1.15 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers12 claims21 services$5.69 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

1 supplier11 claims255 services$3.10 avg. paid by Medicare

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$7.94 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers12 claims650 services$0.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ELIZABETH ANN BROWN DNP

Nurse Practitioner

702 DAVIS ST
CARTHAGE, TX 75633

Panola County (903) 946-4824

KATELYN HANSON

Nurse Practitioner (Family)

702 DAVIS ST
CARTHAGE, TX 75633

Panola County (903) 694-4876

CARTHAGE HOSPITAL, LLC

Clinic/Center (Rural Health)

702 DAVIS ST
CARTHAGE, TX 75633

Panola County (903) 694-4790

EAST TEXAS MEDICAL CENTER CARTHAGE

Clinic/Center (Rural Health)

702 DAVIS ST
CARTHAGE, TX 75633

Panola County (903) 693-3841

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 Adam Duran's NPI number?

The NPI number for Adam Duran is 1265675706. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Adam Duran located?

Adam Duran practices at 702 Davis St, Carthage, TX 75633. The listed phone number is (903) 694-4824.

What is Adam Duran's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adam Duran enrolled in Medicare?

Yes. Adam 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 Adam Duran accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Adam 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.

Is Adam Duran affiliated with any hospitals?

According to CMS data, Adam Duran is affiliated with Christus Good Shepherd Medical Center, Ut Health East Texas Tyler Regional Hospital, Ut Health East Texas Carthage Hospital and Ut Health East Texas Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Adam Duran was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.