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MATTHEW GILLEN DURAN MD
NPI 1861470577
Family Medicine in Fort Collins, CO

Active since January 03, 2006PECOS Enrolled
76.24/100
CMS Quality Rating
1212 EAST ELIZABETH STREET, FORT COLLINS, CO 80524(970) 482-2791(970) 495-9843 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Gillen Duran Md NPPES

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

MATTHEW GILLEN DURAN MD (NPI 1861470577) is an individual family medicine provider in Fort Collins, Colorado, licensed in Colorado (39325) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1999).

NPPES Registry Identity

NPI1861470577
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW GILLEN DURANCredential: MD
Location Address1212 EAST ELIZABETH STREETFort Collins, CO 80524
Mailing Address1321 Catalpa DriveFort Collins, CO 80521 · (970) 223-2469
Phone(970) 482-2791
Fax(970) 495-9843
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1999
Enumeration DateJanuary 3, 2006
Last NPPES UpdateOctober 23, 2009
✔ NPI 1861470577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 39325
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1212 EAST ELIZABETH STREET, Fort Collins, CO 80524
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Other Identifiers 3

Medicaid19424033CO
Medicare ID-Type Unspecified536728CO
Medicare UPINH73226

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

Matthew Gillen Duran Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911998158
PECOS Enrollment IDI20040622000276
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 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.
189 services143 patients
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.
116 services80 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.
93 services93 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
77 services77 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
70 services13 patients
Administration of vaccine, each additional vaccine 90472
Administering an additional vaccine involves giving you an extra immunization to protect against other diseases. This is done after the first vaccine, often during the same visit. It's a safe, effective way to bolster your immune system against multiple illnesses.
24 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80524 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

76.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98.08
Promoting Interoperability100
Improvement Activities40
Cost22.72

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
77%57 patients4/55-star benchmark: 100%
Breast Cancer Screening
84%193 patients4/55-star benchmark: 93%
Cervical Cancer Screening
38%234 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
73%683 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
60%354 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
22%67 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
41%1,813 patients1/55-star benchmark: 100%
e-Prescribing
98%5,901 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
20%421 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%1,000 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
56%840 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 683 patients
Patients screened: 93% · 683 patients
24%45 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%1,346 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%416 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 10% · 445 patients
Patients totalRate: 22% · 445 patients
22%445 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers17 claims17 services$36.83 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers18 claims18 services$78.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers16 claims42 services$33.22 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$19.30 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers15 claims90 services$2.12 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
5 suppliers13 claims13 services$11.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Matthew Duran's NPI number?

The NPI number for Matthew Duran is 1861470577. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Matthew Duran located?

Matthew Duran practices at 1212 East Elizabeth Street, Fort Collins, CO 80524. The listed phone number is (970) 482-2791.

What is Matthew Duran's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Duran enrolled in Medicare?

Yes. Matthew Duran is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Duran accept?

Health plans from UnitedHealthcare list Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Duran was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.