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BRETT ALLEN DURBIN
NPI 1487234886
Physician Assistant in Cincinnati, OH

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4355 FERGUSON DR, CINCINNATI, OH 45245(513) 232-2663(859) 817-7848 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About Brett Allen Durbin NPPES

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

BRETT ALLEN DURBIN (NPI 1487234886) is an individual physician assistant in Cincinnati, Ohio, licensed in Ohio (50.006814RX) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487234886
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRETT ALLEN DURBIN
Location Address4355 FERGUSON DRCincinnati, OH 45245-5136
Mailing Address560 S Loop RdEdgewood, KY 41017-3405 · (859) 301-2663 · Fax (859) 817-7848
Phone(513) 232-2663
Fax(859) 817-7848
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 9, 2021
Last NPPES UpdateMay 26, 20212 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
✔ NPI 1487234886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.006814RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4355 FERGUSON DR, Cincinnati, OH 45245
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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

Brett Allen Durbin 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 ID8325456072
PECOS Enrollment IDI20210416001358
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 5

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
100 services47 patients
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.
88 services68 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
61 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45245 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

ANESTHESIA SERVICES ASSOCIATES, PLLC
Durable Medical Equipment & Medical Supplies
4355 FERGUSON DR, SUITE 270
CINCINNATI, OH 45245
Clermont County (513) 718-0155
VERONICA HENDERSON NP-C
Pain Medicine (Pain Medicine)
4355 FERGUSON DR, SUITE 270
CINCINNATI, OH 45245
Clermont County (513) 718-0115
DR. JOHN C LINZ M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
4355 FERGUSON DR
CINCINNATI, OH 45245
Clermont County (513) 232-2663
DR. GORDON HOY YUN D.P.M.
Podiatrist
4355 FERGUSON DR
CINCINNATI, OH 45245
Clermont County (513) 232-2663
WHITNEY LYNNE QUIAMBAO PT, OT
Occupational Therapist
4355 FERGUSON DR
CINCINNATI, OH 45245
Clermont County (859) 301-2663
ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC
Orthopaedic Surgery
4355 FERGUSON DR
CINCINNATI, OH 45245
Clermont County (513) 221-2663
TOSHIYUKI WATANABE DPT
Physical Therapist
4355 FERGUSON DR
CINCINNATI, OH 45245
Clermont County (513) 232-2663
ANESTHESIA SERVICES ASSOCIATES PLLC
Anesthesiology (Pain Medicine)
4355 FERGUSON DR, SUITE 270
CINCINNATI, OH 45245
Clermont County (513) 718-0115

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 Brett Durbin's NPI number?

The NPI number for Brett Durbin is 1487234886. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Brett Durbin located?

Brett Durbin practices at 4355 Ferguson Dr, Cincinnati, OH 45245. The listed phone number is (513) 232-2663.

What is Brett Durbin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brett Durbin enrolled in Medicare?

Yes. Brett 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 Brett Durbin accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Brett 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 Brett Durbin affiliated with any hospitals?

According to CMS data, Brett Durbin is affiliated with Mercy Health-Anderson Hospital, Christ Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Brett Durbin was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.