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DR. VANESSA EUGENIA DURAN M.D.
NPI 1659640977
Emergency Medicine in Fredericksburg, TX

Active since December 14, 2011PECOS EnrolledAccepts Medicare Assignment
1020 S STATE HIGHWAY 16, FREDERICKSBURG, TX 78624(830) 997-4353 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vanessa Eugenia Duran M.d. NPPES

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

DR. VANESSA EUGENIA DURAN M.D. (NPI 1659640977) is an individual emergency medicine provider in Fredericksburg, Texas, licensed in New York (278740) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659640977
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. VANESSA EUGENIA DURANCredential: M.D.
Location Address1020 S STATE HIGHWAY 16Fredericksburg, TX 78624-4471
Mailing Address1020 S State Highway 16Fredericksburg, TX 78624-4471 · (516) 256-6000
Phone(830) 997-4353
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 14, 2011
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1659640977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 278740
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
1020 S STATE HIGHWAY 16, Fredericksburg, TX 78624
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Dr. Vanessa Eugenia 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 ID8820307499
PECOS Enrollment IDI20230403001668, I20231024000623
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
267 services256 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
199 services184 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
156 services152 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450152
Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County
Emergency services Birthing friendly

Tmc- Bonham Hospital

Critical Access Hospitals · Bonham, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451370
Location504 Lipscomb StreetBonham, TX 75418 · Fannin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78624 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

MISS JENNIFER RENEE ADAMS MS, RD, LD
Dietitian, Registered
1020 S STATE HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-1312
FREDERICKSBURG ANESTHESIA CONSULTANTS PLLC
Anesthesiology
1020 S STATE HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-4353
DR. PETER A COLDWELL M.D.
Emergency Medicine (Emergency Medical Services)
1020 S STATE HIGHWAY 16, EMERGENCY DEPARTMENT
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-1276
MR. GREGORY MICHAEL SCROGGINS PT
Physical Therapist
1020 S STATE HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 990-6165
CAPITOL GLOBAL EMERGENCY SERVICES, INC
Emergency Medicine
1020 S STATE HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-4353
DR. JORGE JAVIER PEACHER M.D.
Family Medicine
1020 S STATE HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (830) 997-4353
CROSS MOUNTAIN INPATIENT SERVICES PLLC
Hospitalist
1020 S STATE HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (469) 401-2386
BARONS CREEK EMERGENCY PHYSICIANS PLLC
Emergency Medicine
1020 S STATE HIGHWAY 16
FREDERICKSBURG, TX 78624
Gillespie County (973) 251-1132

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 Vanessa Duran's NPI number?

The NPI number for Vanessa Duran is 1659640977. It was assigned to this individual provider in the NPPES registry on December 14, 2011.

Where is Vanessa Duran located?

Vanessa Duran practices at 1020 S State Highway 16, Fredericksburg, TX 78624. The listed phone number is (830) 997-4353.

What is Vanessa Duran's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Vanessa Duran enrolled in Medicare?

Yes. Vanessa Duran 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 Vanessa Duran accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Vanessa Duran 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 Vanessa Duran affiliated with any hospitals?

According to CMS data, Vanessa Duran is affiliated with Adventhealth Central Texas and Tmc- Bonham Hospital.

When was this NPI record last updated?

The NPPES record for Vanessa Duran was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.