MARGARET R DURKIN MD
NPI 1588665145
Internal Medicine in Toledo, OH

Active since August 04, 2005PECOS EnrolledAccepts Medicare Assignment
4126 N HOLLAND SYLVANIA RD, SUITE 140, TOLEDO, OH 43623(419) 517-7687(419) 824-1400 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Margaret R Durkin Md NPPES

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

MARGARET R DURKIN MD (NPI 1588665145) is an individual internal medicine provider in Toledo, Ohio, licensed in Ohio (35069421) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1985).

NPPES Registry Identity

NPI1588665145
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARGARET R DURKINCredential: MD
Location Address4126 N HOLLAND SYLVANIA RD, SUITE 140Toledo, OH 43623
Mailing Address4235 Secor Rd, Suite 201Toledo, OH 43623 · (419) 885-5688 · Fax (419) 824-1400
Fax(419) 824-1400
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1985
Enumeration DateAugust 4, 2005
Last NPPES UpdateAugust 23, 2011
NPI 1588665145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35069421
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4126 N HOLLAND SYLVANIA RD, Toledo, OH 43623

Other Identifiers 3

Medicaid0211676OH
Medicare UPINE45770OH
Medicare PINH012700OH

Accepted 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

Margaret R Durkin 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 ID6608948815
PECOS Enrollment IDI20080703000347
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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
170 services25 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.
135 services81 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
108 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
107 services107 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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
8 suppliers23 claims49 services$5.20 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
1 supplier11 claims11 services$215.80 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 20

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

Anesthesiology
4126 N HOLLAND SYLVANIA RD, SUITE 220
TOLEDO, OH 43623
Nurse Practitioner (Family)
4126 N HOLLAND SYLVANIA RD, SUITE 200
TOLEDO, OH 43623
Advanced Practice Midwife
4126 N HOLLAND SYLVANIA RD, SUITE 220
TOLEDO, OH 43623
Advanced Practice Midwife
4126 N HOLLAND SYLVANIA RD, SUITE 220
TOLEDO, OH 43623
Family Medicine
4126 N HOLLAND SYLVANIA RD, SUITE 100
TOLEDO, OH 43623
Dermatology
4126 N HOLLAND SYLVANIA RD, SUITE 200
TOLEDO, OH 43623
Advanced Practice Midwife
4126 N HOLLAND SYLVANIA RD, SUITE 220
TOLEDO, OH 43623
Durable Medical Equipment & Medical Supplies
4126 N HOLLAND SYLVANIA RD, SUITE 105
TOLEDO, OH 43623

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 Margaret Durkin's NPI number?

The NPI number for Margaret Durkin is 1588665145. It was assigned to this individual provider in the NPPES registry on August 4, 2005.

Where is Margaret Durkin located?

Margaret Durkin practices at 4126 N Holland Sylvania Rd Suite 140, Toledo, OH 43623. The listed phone number is (419) 517-7687.

What is Margaret Durkin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Margaret Durkin enrolled in Medicare?

Yes. Margaret Durkin 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 Margaret Durkin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Margaret Durkin 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 Margaret Durkin affiliated with any hospitals?

According to CMS data, Margaret Durkin is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Durkin was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.