1. Home
  2. Directory
  3. Texas
  4. San Juan
  5. Obstetrics Gynecology
  6. NPI Profile

ALBERTO D DURAN MD
NPI 1366527293
Obstetrics & Gynecology in San Juan, TX

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
1211 N RAUL LONGORIA, STE C, SAN JUAN, TX 78589(956) 782-7878(956) 782-7877 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alberto D Duran Md NPPES

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

ALBERTO D DURAN MD (NPI 1366527293) is an individual obstetrics & gynecology provider in San Juan, Texas, licensed in Texas (K7147) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mission Regional Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (1996).

NPPES Registry Identity

NPI1366527293
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameALBERTO D DURANCredential: MD
Location Address1211 N RAUL LONGORIA, STE CSan Juan, TX 78589
Mailing AddressPo Box 609Mission, TX 78573-0011 · (956) 782-7878 · Fax (956) 782-7877
Phone(956) 782-7878
Fax(956) 782-7877
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1996
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 8, 2022
NPPES CertifiedAugust 8, 2022
✔ NPI 1366527293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · K7147
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.
1211 N RAUL LONGORIA, San Juan, TX 78589
Open in Google Maps ↗

Other Identifiers 4

Other0081JLTX · Blue Cross & Blue Shield
Medicaid030155805TX
Other135976100TX · Valley Health Plans
Other114603TX · Superior Health Plans

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

Alberto D 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 ID5092892695
PECOS Enrollment IDI20080407000578
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

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.

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.
35 services16 patients

Hospital Affiliations CMS Care Compare

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

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450176
Location900 South Bryan RoadMission, TX 78572 · Hidalgo County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78589 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Alberto Duran's NPI number?

The NPI number for Alberto Duran is 1366527293. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Alberto Duran located?

Alberto Duran practices at 1211 N Raul Longoria Ste C, San Juan, TX 78589. The listed phone number is (956) 782-7878.

What is Alberto Duran's specialty?

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

Is Alberto Duran enrolled in Medicare?

Yes. Alberto 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 Alberto 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 3 other insurers list Alberto 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 Alberto Duran affiliated with any hospitals?

According to CMS data, Alberto Duran is affiliated with Mission Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Alberto Duran was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.