DR. MARY KATHERINE DURAN MD
NPI 1497726145
Family Medicine in Rutherfordton, NC

Q: What is Mary Duran's NPI number?

The NPI number for Mary Duran is 1497726145. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Q: What is Mary 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 Mary Duran was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

288 S RIDGECREST AVE, RUTHERFORDTON, NC 28139(828) 286-5000 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2026, Apr 20, 2021, Feb 19, 2016 and 1 more (4 updates tracked since 2015).

On this page

About Dr. Mary Katherine Duran Md NPPES

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

DR. MARY KATHERINE DURAN MD (NPI 1497726145) is an individual family medicine provider in Rutherfordton, North Carolina, licensed in Virginia (0101271522) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Harris Regional Hospital, and maintains a secondary practice location in Abbeville.

NPPES Registry Identity

NPI1497726145

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARY KATHERINE DURANCredential: MD

Location Address288 S RIDGECREST AVERutherfordton, NC 28139-2838

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(828) 286-5000

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1998

Enumeration DateJanuary 31, 2006

Last NPPES UpdateMay 27, 20264 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1497726145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in VA · 0101271522✔ Licensed in SC · 24002

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 ListedEmergency MedicineTaxonomy 207P00000X · License 0101271522 (VA), 200000779 (NC)

288 S RIDGECREST AVE, Rutherfordton, NC 28139

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Secondary Practice Location 1

Location 1420 Thomson CirAbbeville, SC 29620-5656 · Phone (864) 366-5011

Other Identifiers 5

OtherC9129SC · Medcost

MedicaidN00779SC

Medicaid89130YYNC

Other130YYNC · Bcbs

Other754899SC · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company.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

Dr. Mary Katherine 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 ID1153399597

PECOS Enrollment IDI20040922001131, I20081015000362, I20210423001367

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.

Medicare Billing Reassignments

Medicare enrollment records show Mary Duran reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cherokee Medical Center

23 mi

Pediatrics

103 STUARD ST
Gaffney, SC 29341

Reassigned Medicare billing, South Carolina enrollment
139 clinicians in this Medicare group

NPI 1851942346 (864) 560-6000

Self Medical Group

61 mi

Internal Medicine

22580 HIGHWAY 76 E, SUITE 200
Laurens, SC 29360

Reassigned Medicare billing, South Carolina enrollment
560 clinicians in this Medicare group

NPI 1104137892 (864) 833-0055

Sylva Emergency Group LLC

70 mi

Emergency Medicine

68 HOSPITAL RD
Sylva, NC 28779

Reassigned Medicare billing, North Carolina enrollment
34 clinicians in this Medicare group

NPI 1669808143 (800) 893-9698

Abbeville County Memorial Hospital

75 mi

Adult Medicine

6 COLLEGE ST
Due West, SC 29639

Reassigned Medicare billing, South Carolina enrollment
Also billed through NPI 1063449361 (South Carolina)
103 clinicians in this Medicare group

NPI 1689048464 (864) 379-2345

Self Regional Healthcare Partners

106 mi

Family Medicine

801 MOBLEY ST
Johnston, SC 29832

Reassigned Medicare billing, South Carolina enrollment
Also billed through NPI 1922582105 (South Carolina)
126 clinicians in this Medicare group

NPI 1942197835 (803) 275-4653

Western Virginia Regional Emergency Physicians, LLC

115 mi

Emergency Medicine

100 15TH ST NW
Norton, VA 24273

Reassigned Medicare billing, Virginia enrollment
207 clinicians in this Medicare group

NPI 1386183028 (276) 439-1000

Beaufort County Memorial Hospital

181 mi

Rural Health

1000 PINE STREET WEST
Varnville, SC 29944

Reassigned Medicare billing, South Carolina enrollment
212 clinicians in this Medicare group

NPI 1033175344 (803) 943-5228

The Carolinas Emergency Group, PLLC

188 mi

Emergency Medicine

800 TILGHMAN DR
Dunn, NC 28334

Reassigned Medicare billing, North Carolina enrollment
373 clinicians in this Medicare group

NPI 1477508836 (910) 892-7161

Southeastern Emergency Physicians LLC

248 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, North Carolina enrollment
51 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

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 13

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.

152 services150 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

115 services12 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.

66 services65 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

64 services63 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

58 services56 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

51 services51 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

43 services43 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

25 services25 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

25 services25 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

22 services20 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

15 services15 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

13 services13 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340016

Location68 Hospital RdSylva, NC 28779 · Jackson County

Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number420067

Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County

Emergency services Birthing friendly

Russell County Hospital

Acute Care Hospitals · Lebanon, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490002

Location58 Carroll StreetLebanon, VA 24266 · Russell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28139 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

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.

JOHN T TOLHURST MD

Emergency Medicine