MARIE-CLAUDIA DURKIN D.O.
NPI 1407218241
Internal Medicine in West Grove, PA

Q: What is Marie-claudia Durkin's NPI number?

The NPI number for Marie-claudia Durkin is 1407218241. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Q: What is Marie-claudia Durkin's specialty?

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

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment

1015 W BALTIMORE PIKE, WEST GROVE, PA 19390(484) 429-2351 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2025, Sep 3, 2019, Mar 22, 2016 (3 updates tracked since 2016).

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About Marie-claudia Durkin D.o. NPPES

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

MARIE-CLAUDIA DURKIN D.O. (NPI 1407218241) is an individual internal medicine provider in West Grove, Pennsylvania, licensed in Pennsylvania (OS019839) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1407218241

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMARIE-CLAUDIA DURKINCredential: D.O.

Location Address1015 W BALTIMORE PIKEWest Grove, PA 19390

Mailing Address2005 Kestral CirAudubon, PA 19403-1875 · (484) 429-2351

Phone(484) 429-2351

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016

Enumeration DateMarch 22, 2016

Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1407218241 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 · OS019839

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 ListedHospitalistTaxonomy 208M00000X · License C2-0024075 (DE)

1015 W BALTIMORE PIKE, West Grove, PA 19390

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Secondary Practice Location 1

Location 14190 City AvePhiladelphia, PA 19131-1626 · Phone (215) 871-6690

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

Marie-claudia Durkin D.o. 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 ID2769767151

PECOS Enrollment IDI20220328000931

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.

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.

26 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19390 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$15.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier21 claims21 services$70.15 avg. paid by Medicare

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

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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.

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