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CATHERINE DURBIN APN
NPI 1548664170
Nurse Practitioner - Acute Care in Salem, IL

Active since October 10, 2014PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
518 SOUTH BROADWAY, SALEM, IL 62881(618) 548-8119(618) 548-3417 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Catherine Durbin Apn NPPES

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

CATHERINE DURBIN APN (NPI 1548664170) is an individual acute care provider in Salem, Illinois, licensed in Illinois (209011964) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Vanderbilt University School Of Medicine (2014).

NPPES Registry Identity

NPI1548664170
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCATHERINE DURBINCredential: APN
Location Address518 SOUTH BROADWAYSalem, IL 62881
Mailing AddressPo Box 99Irvington, IL 62848-0099 · (618) 780-2849
Phone(618) 548-8119
Fax(618) 548-3417
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2014
Enumeration DateOctober 10, 2014
✔ NPI 1548664170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209011964
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209011964 (IL)
518 SOUTH BROADWAY, Salem, IL 62881
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Catherine Durbin Apn 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 ID1456249416
PECOS Enrollment IDI20150303000203
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

2

Medicare enrollment records show Catherine Durbin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Salem Township Hospital
0.8 mi
Rural Health
1321 W WHITTAKER ST
Salem, IL 62881
  • Reassigned Medicare billing, Illinois enrollment
  • 44 clinicians in this Medicare group
NPI 1649830472 (618) 548-6644
Midwest Emergency Good Samaritan, Inc
21 mi
Emergency Medicine
605 N 12TH ST
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 81 clinicians in this Medicare group
NPI 1629367578 (817) 451-4208

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62881 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
86%132 patients4/55-star benchmark: 93%
Cervical Cancer Screening
46%126 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
81%149 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
71%255 patients4/55-star benchmark: 88%
Diabetes: Eye Exam
49%78 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
22%78 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,294 patients5/55-star benchmark: 100%
e-Prescribing
99%2,270 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
98%325 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%301 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
100%405 patients5/55-star benchmark: 100%
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 2

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
5 suppliers25 claims41 services$6.22 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$30.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Catherine Durbin's NPI number?

The NPI number for Catherine Durbin is 1548664170. It was assigned to this individual provider in the NPPES registry on October 10, 2014.

Where is Catherine Durbin located?

Catherine Durbin practices at 518 South Broadway, Salem, IL 62881. The listed phone number is (618) 548-8119.

What is Catherine Durbin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Catherine Durbin enrolled in Medicare?

Yes. Catherine 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.

Which organizations bill Medicare for Catherine Durbin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Durbin reassigns Medicare benefits to 2 organizations: Salem Township Hospital (Salem, IL) and Midwest Emergency Good Samaritan, Inc (Mount Vernon, IL). 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 Catherine Durbin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine Durbin accept?

Health plans from Medica list Catherine 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 Catherine Durbin affiliated with any hospitals?

According to CMS data, Catherine Durbin is affiliated with Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center and Salem Township Hospital.

When was this NPI record last updated?

The NPPES record for Catherine Durbin was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.