DAVID K DURNICK M.D.
NPI 1629087960
Pathology - Anatomic Pathology & Clinical Pathology in Wausau, WI

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
425 PINE RIDGE BLVD STE 200, WAUSAU, WI 54401(715) 847-0075 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2025, Dec 21, 2021 (2 updates tracked since 2021).

About David K Durnick M.d. NPPES

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

DAVID K DURNICK M.D. (NPI 1629087960) is an individual anatomic pathology & clinical pathology provider in Wausau, Wisconsin, licensed in Minnesota (48606) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stanley Hospital, and is a graduate of University Of Minnesota Medical School (2005).

NPPES Registry Identity

NPI1629087960
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDAVID K DURNICKCredential: M.D.
Location Address425 PINE RIDGE BLVD STE 200Wausau, WI 54401-4123
Mailing Address425 Pine Ridge Blvd Ste 200Wausau, WI 54401-4123 · (715) 847-0075
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2005
Enumeration DateAugust 5, 2006
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1629087960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in MN · 48606
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
425 PINE RIDGE BLVD STE 200, Wausau, WI 54401

Other Identifiers 4

Medicaid877658000MN
MedicaidENROLLEDIA
Medicaid35179600WI
MedicaidENROLLEDMN

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

David K Durnick 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 ID9830193465
PECOS Enrollment IDI20101025000892
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 2

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
233 services110 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
64 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Aspirus Stanley Hospital

Critical Access Hospitals · Stanley, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521311
Location1120 Pine StStanley, WI 54768 · Chippewa County
Emergency services

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.86
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Pathology (Anatomic Pathology & Clinical Pathology)
425 PINE RIDGE BLVD STE 200
WAUSAU, WI 54401
Nurse Practitioner (Family)
425 PINE RIDGE BLVD STE 200
WAUSAU, WI 54401
Pathology (Anatomic Pathology & Clinical Pathology)
425 PINE RIDGE BLVD STE 200
WAUSAU, WI 54401
Pathology (Anatomic Pathology & Clinical Pathology)
425 PINE RIDGE BLVD STE 200
WAUSAU, WI 54401
Nurse Practitioner (Acute Care)
425 PINE RIDGE BLVD STE 200
WAUSAU, WI 54401
Pathology (Anatomic Pathology & Clinical Pathology)
425 PINE RIDGE BLVD STE 200
WAUSAU, WI 54401
Pathology (Anatomic Pathology & Clinical Pathology)
425 PINE RIDGE BLVD STE 200
WAUSAU, WI 54401
Pathology (Anatomic Pathology & Clinical Pathology)
425 PINE RIDGE BLVD STE 200
WAUSAU, WI 54401

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 David Durnick's NPI number?

The NPI number for David Durnick is 1629087960. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is David Durnick located?

David Durnick practices at 425 Pine Ridge Blvd Ste 200, Wausau, WI 54401. The listed phone number is (715) 847-0075.

What is David Durnick's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is David Durnick enrolled in Medicare?

Yes. David Durnick 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 David Durnick accept?

Health plans from Medica list David Durnick 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 David Durnick affiliated with any hospitals?

According to CMS data, David Durnick is affiliated with Aspirus Stanley Hospital and Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for David Durnick was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.