MARIE-CLAUDIA DURKIN D.O.
NPI 1407218241
Internal Medicine in West Grove, PA
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Marie-claudia Durkin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 460 clinicians in this Medicare group
Wilmington, DE 19805
- Reassigned Medicare billing, Delaware enrollment
- 13 clinicians in this Medicare group
Phoenixville, PA 19460
- Reassigned Medicare billing, Pennsylvania enrollment
- 74 clinicians in this Medicare group
Baton Rouge, LA 70816
- Reassigned Medicare billing, Delaware enrollment
- 41 clinicians in this Medicare group
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
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.
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.
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.
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.
WEST GROVE, PA 19390
WEST GROVE, PA 19390
WEST GROVE, PA 19390
WEST GROVE, PA 19390
WEST GROVE, PA 19390
WEST GROVE, PA 19390
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 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.
Where is Marie-claudia Durkin located?
Marie-claudia Durkin practices at 1015 W Baltimore Pike, West Grove, PA 19390. The listed phone number is (484) 429-2351.
What is Marie-claudia Durkin's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Marie-claudia Durkin enrolled in Medicare?
Yes. Marie-claudia Durkin 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 Marie-claudia Durkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marie-claudia Durkin reassigns Medicare benefits to 4 organizations: Christiana Care Health Services Inc (Newark, DE), Galen Inpatient Physicians PC (Wilmington, DE), Tri-County Hospitalists, LLC (Phoenixville, PA) and Hospital Medicine Associates LLC (Baton Rouge, LA). 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 Marie-claudia Durkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marie-claudia Durkin accept?
Health plans from AmeriHealth Caritas Next list Marie-claudia Durkin 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.
When was this NPI record last updated?
The NPPES record for Marie-claudia Durkin was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Marie-Claudia Durkin, D.O. · NPI 1407218241
Internal Medicine physician in West Grove, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 22, 2016.
## Identity
- **NPI:** 1407218241 (Entity type: Individual)
- **Enumerated:** March 22, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** OS019839 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1015 W BALTIMORE PIKE, West Grove, PA 19390
- **Phone:** (484) 429-2351
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Christiana Care Health Services Inc (NPI 1245474329, Newark, DE); Galen Inpatient Physicians PC (NPI 1285450486, Wilmington, DE); Tri-County Hospitalists, LLC (NPI 1730518564, Phoenixville, PA); Hospital Medicine Associates LLC (NPI 1093758781, Baton Rouge, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2016
## Record status
- **NPPES last updated:** March 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407218241) · Data from the CMS NPPES public registry.