MR. TIMOTHY I DURBIN MSN-FNP
NPI 1639620859
Nurse Practitioner - Family in Powderly, KY

Active since October 24, 2016PECOS EnrolledAccepts Medicare Assignment
1010 MEDICAL CENTER DR, POWDERLY, KY 42367(270) 377-1600(270) 338-0229 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2020, Oct 24, 2016 (2 updates tracked since 2016).

About Mr. Timothy I Durbin Msn-fnp NPPES

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

MR. TIMOTHY I DURBIN MSN-FNP (NPI 1639620859) is an individual family provider in Powderly, Kentucky, licensed in Kentucky (3010799) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639620859
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. TIMOTHY I DURBINCredential: MSN-FNP
Location Address1010 MEDICAL CENTER DRPowderly, KY 42367-5463
Mailing Address2310 Culpepper Close StMadisonville, KY 42431-9418 · (270) 377-1600 · Fax (270) 338-0229
Fax(270) 338-0229
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 24, 2016
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
NPI 1639620859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3010799
1010 MEDICAL CENTER DR, Powderly, KY 42367

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

Mr. Timothy I Durbin Msn-fnp 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 ID3779863238
PECOS Enrollment IDI20161129002745
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

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
21 services15 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42367 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 5

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
7 suppliers21 claims41 services$6.25 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier11 claims11 services$17.15 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers22 claims22 services$8.39 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$52.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers11 claims12 services$104.63 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.

Physician Assistant (Medical)
1010 MEDICAL CENTER DR
POWDERLY, KY 42367
Physical Therapist
1010 MEDICAL CENTER DR
POWDERLY, KY 42367
Physical Therapist
1010 MEDICAL CENTER DR
POWDERLY, KY 42367
Internal Medicine
1010 MEDICAL CENTER DR
POWDERLY, KY 42367
Nurse Practitioner (Family)
1010 MEDICAL CENTER DR
POWDERLY, KY 42367
Family Medicine
1010 MEDICAL CENTER DR
POWDERLY, KY 42367
Physician Assistant
1010 MEDICAL CENTER DR
POWDERLY, KY 42367
Nurse Practitioner (Family)
1010 MEDICAL CENTER DR
POWDERLY, KY 42367

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 Timothy Durbin's NPI number?

The NPI number for Timothy Durbin is 1639620859. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Timothy Durbin located?

Timothy Durbin practices at 1010 Medical Center Dr, Powderly, KY 42367. The listed phone number is (270) 377-1600.

What is Timothy Durbin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Timothy Durbin enrolled in Medicare?

Yes. Timothy 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.

What insurance does Timothy Durbin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Timothy 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 Timothy Durbin affiliated with any hospitals?

According to CMS data, Timothy Durbin is affiliated with Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for Timothy Durbin was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.