DR. BLANCA ILEANA DURAND M.D.
NPI 1902802689
Otolaryngology in Stockbridge, GA

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1101 HOSPITAL DR, STE 100A, STOCKBRIDGE, GA 30281(770) 474-7416(770) 389-6210 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Blanca Ileana Durand M.d. NPPES

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

DR. BLANCA ILEANA DURAND M.D. (NPI 1902802689) is an individual otolaryngology provider in Stockbridge, Georgia, licensed in Georgia (046956) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1902802689
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. BLANCA ILEANA DURANDCredential: M.D.
Location Address1101 HOSPITAL DR, STE 100AStockbridge, GA 30281-9076
Mailing Address1240 Highway 54 W, Ste 700Fayetteville, GA 30214-4565 · (770) 474-7416 · Fax (770) 389-6210
Fax(770) 389-6210
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 27, 2005
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1902802689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in GA · 046956
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License 046956 (GA)
1101 HOSPITAL DR, Stockbridge, GA 30281

Other Identifiers 1

Medicaid00825382GA

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

Dr. Blanca Ileana Durand 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 ID3072409226
PECOS Enrollment IDI20050914000696
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 4

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.
346 services190 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.
80 services80 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
60 services55 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%226 patients5/55-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 6

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
3 suppliers19 claims19 services$32.70 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$83.72 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers12 claims12 services$45.27 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$16.69 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers23 claims134 services$1.80 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers36 claims36 services$26.73 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 8

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

Pediatrics (Adolescent Medicine)
1101 HOSPITAL DR, SUITE 210
STOCKBRIDGE, GA 30281
Audiologist
1101 HOSPITAL DR, SUITE 100A
STOCKBRIDGE, GA 30281
Audiologist
1101 HOSPITAL DR, SUITE 100A
STOCKBRIDGE, GA 30281
Internal Medicine (Rheumatology)
1101 HOSPITAL DR, SUITE 200
STOCKBRIDGE, GA 30281
Otolaryngology
1101 HOSPITAL DR, STE 100A
STOCKBRIDGE, GA 30281
Clinic/Center (Primary Care)
1101 HOSPITAL DR, SUITE 210
STOCKBRIDGE, GA 30281
Otolaryngology
1101 HOSPITAL DR, STE 100A
STOCKBRIDGE, GA 30281
Otolaryngology
1101 HOSPITAL DR, SUITE 100A
STOCKBRIDGE, GA 30281

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 Blanca Durand's NPI number?

The NPI number for Blanca Durand is 1902802689. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Blanca Durand located?

Blanca Durand practices at 1101 Hospital Dr Ste 100A, Stockbridge, GA 30281. The listed phone number is (770) 474-7416.

What is Blanca Durand's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Blanca Durand enrolled in Medicare?

Yes. Blanca Durand 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 Blanca Durand accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Blanca Durand 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 Blanca Durand affiliated with any hospitals?

According to CMS data, Blanca Durand is affiliated with Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Blanca Durand was last updated on August 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.