ANTONIO DURAN M.D
NPI 1588027700
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Chula Vista, CA

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
77.75/100
CMS Quality Rating
890 EASTLAKE PKWY STE 205, CHULA VISTA, CA 91914(858) 244-6867 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 5, 2023, Aug 29, 2023, Jul 5, 2022 and 1 more (4 updates tracked since 2020).

About Antonio Duran M.d NPPES

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

ANTONIO DURAN M.D (NPI 1588027700) is an individual advanced heart failure and transplant cardiology provider in Chula Vista, California, licensed in California (A176814) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1588027700
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameANTONIO DURANCredential: M.D
Location Address890 EASTLAKE PKWY STE 205Chula Vista, CA 91914-4521
Mailing Address890 Eastlake Pkwy Ste 205Chula Vista, CA 91914-4521 · (858) 244-6867 · Fax (858) 682-2202
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 4, 2016
Last NPPES UpdateSeptember 5, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1588027700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in CA · A176814
Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal MedicineTaxonomy 207R00000X · License 319970 (LA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A176814 (CA)
890 EASTLAKE PKWY STE 205, Chula Vista, CA 91914

Secondary Practice Location 1

Location 13131 Berger Ave Ste 200San Diego, CA 92123-4203 · Phone (858) 244-6800

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

Antonio Duran M.d 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 ID3678802881
PECOS Enrollment IDI20230706000786
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 20

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
239 services101 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.
184 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
163 services114 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
149 services109 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
125 services17 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
124 services123 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91914 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

77.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.35
Improvement Activities40
Cost66.77

Other Providers at the Same Location NPPES

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

Physician Assistant
890 EASTLAKE PKWY STE 205
CHULA VISTA, CA 91914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588027700, enumerated as an "individual" on April 04, 2016.

The provider is located at 890 EASTLAKE PKWY STE 205 CHULA VISTA, CA 91914 and the phone number is (858) 244-6867.

Internal Medicine with taxonomy code 207RA0001X and a focus in Advanced Heart Failure and Transplant Cardiology.