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MARK M DURCAN MD
NPI 1770502106
Internal Medicine - Addiction Medicine in Scarborough, ME

Active since July 18, 2006PECOS Enrolled
273 PAYNE RD, SCARBOROUGH, ME 04074(207) 618-9355(207) 618-9356 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 17, 2020, Jan 10, 2017 (2 updates tracked since 2017).

About Mark M Durcan Md NPPES

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

MARK M DURCAN MD (NPI 1770502106) is an individual addiction medicine provider in Scarborough, Maine, licensed in New Hampshire (9799) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1991).

NPPES Registry Identity

NPI1770502106
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameMARK M DURCANCredential: MD
Location Address273 PAYNE RDScarborough, ME 04074-9593
Mailing Address74 Pleasant St, Ste 204New London, NH 03257-5881 · (207) 618-9355 · Fax (207) 618-9356
Phone(207) 618-9355
Fax(207) 618-9356
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1991
Enumeration DateJuly 18, 2006
Last NPPES UpdateApril 17, 20202 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
✔ NPI 1770502106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in NH · 9799
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD20347 (ME), 9799 (NH)
Also ListedInternal MedicineTaxonomy 207R00000X · License 9799 (NH)
Also ListedPediatricsTaxonomy 208000000X · License 9799 (NH)
273 PAYNE RD, Scarborough, ME 04074
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Other Identifiers 9

Medicaid30201928NH
Other0108262Y0NH03NH · Anthem
Medicaid0188107MA
Other7067015NH · Aetna
Other7067015Aetna
OtherP00191358Railroad Medicare
Other69151Tufts
OtherAA105262Harvard Pilgrim
OtherG18766NH · Nhbs Ran

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark M Durcan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547227613
PECOS Enrollment IDI20041215000402, I20151217002404
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 11

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.

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.
101 services90 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.
96 services87 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
46 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
39 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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 Mark Durcan's NPI number?

The NPI number for Mark Durcan is 1770502106. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Mark Durcan located?

Mark Durcan practices at 273 Payne Rd, Scarborough, ME 04074. The listed phone number is (207) 618-9355.

What is Mark Durcan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Mark Durcan enrolled in Medicare?

Yes. Mark Durcan is registered in the Medicare PECOS enrollment system.

What insurance does Mark Durcan accept?

Health plans from Providence Health Plan list Mark Durcan 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.

When was this NPI record last updated?

The NPPES record for Mark Durcan was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.