DR. LUISA A. DURAN
NPI 1548437940
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Ramon, CA

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
2305 CAMINO RAMON, #270, SAN RAMON, CA 94583(925) 866-8700 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Luisa A. Duran NPPES

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

DR. LUISA A. DURAN (NPI 1548437940) is an individual endocrinology, diabetes & metabolism provider in San Ramon, California, licensed in California (A112101) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2008).

NPPES Registry Identity

NPI1548437940
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. LUISA A. DURAN
Location Address2305 CAMINO RAMON, #270San Ramon, CA 94583-1396
Mailing AddressDept 34929, P.o. Box 39000San Francisco, CA 94139-0001 · (925) 952-2828 · Fax (925) 952-2850
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2008
Enumeration DateMay 14, 2008
Last NPPES UpdateSeptember 29, 2015
NPI 1548437940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CA · A112101
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

2305 CAMINO RAMON, San Ramon, CA 94583

Other Identifiers 2

OtherP01319376CA · Railroad Medicare
Medicare PINCA105231

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

Dr. Luisa A. Duran 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 ID5294960852
PECOS Enrollment IDI20131107000094
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 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,240 services38 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.
756 services357 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.
83 services83 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
82 services36 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
74 services43 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.
45 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94583 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
6%48 patients
Breast Cancer Screening
80%398 patients4/55-star benchmark: 93%
Cervical Cancer Screening
52%346 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
17%23 patients
Colorectal Cancer Screening
68%643 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
90%400 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
36%315 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%315 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%2,518 patients4/55-star benchmark: 100%
e-Prescribing
99%464 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
51%535 patients3/55-star benchmark: 100%
HIV Screening
22%587 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
55%986 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
38%796 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 94% · 763 patients
93%763 patients
Provide Patients Electronic Access to Their Health Information
100%605 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%518 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
35 suppliers117 claims382 services$6.16 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers34 claims50 services$1.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers141 claims142 services$178.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
2305 CAMINO RAMON, SUITE 270
SAN RAMON, CA 94583
Pediatrics
2305 CAMINO RAMON, SUITE 120
SAN RAMON, CA 94583
Family Medicine
2305 CAMINO RAMON, SUITE 100
SAN RAMON, CA 94583
Ophthalmology
2305 CAMINO RAMON, SUITE 202
SAN RAMON, CA 94583
Family Medicine
2305 CAMINO RAMON, SUITE 100
SAN RAMON, CA 94583
Surgery
2305 CAMINO RAMON, SUITE 217
SAN RAMON, CA 94583
Pediatrics
2305 CAMINO RAMON, SUITE 120
SAN RAMON, CA 94583
Family Medicine
2305 CAMINO RAMON, SUITE 100
SAN RAMON, CA 94583

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 Luisa Duran's NPI number?

The NPI number for Luisa Duran is 1548437940. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Luisa Duran located?

Luisa Duran practices at 2305 Camino Ramon #270, San Ramon, CA 94583. The listed phone number is (925) 866-8700.

What is Luisa Duran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Luisa Duran enrolled in Medicare?

Yes. Luisa 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.

When was this NPI record last updated?

The NPPES record for Luisa Duran was last updated on September 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.