DR. MONICA DURAN M.D.
NPI 1912176769
Family Medicine in Decatur, IL

Q: What is Monica Duran's NPI number?

The NPI number for Monica Duran is 1912176769. It was assigned to this individual provider in the NPPES registry on February 26, 2008.

Q: What is Monica Duran's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Monica Duran was last updated on December 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 26, 2008PECOS EnrolledAccepts Medicare Assignment

3798 EAST FULTON AVE, DECATUR, IL 62521(217) 864-2700(217) 422-3930 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Monica Duran M.d. NPPES

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

DR. MONICA DURAN M.D. (NPI 1912176769) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036107993) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1912176769

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MONICA DURANCredential: M.D.

Location Address3798 EAST FULTON AVEDecatur, IL 62521

Mailing Address3798 East Fulton AveDecatur, IL 62521 · (217) 864-2700 · Fax (217) 422-3930

Phone(217) 864-2700

Fax(217) 422-3930

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateFebruary 26, 2008

Last NPPES UpdateDecember 16, 2015

✔ NPI 1912176769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036107993

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.

3798 EAST FULTON AVE, Decatur, IL 62521

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Other Identifiers 2

Medicare UPINH97896

Medicaid036107993-1IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Monica 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 ID5890698732

PECOS Enrollment IDI20040129000144

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.

Medicare Billing Reassignments

Medicare enrollment records show Monica Duran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dolly Briscoe Enterprises, Inc.

3.8 mi

Health Educator

1045 N STATE HIGHWAY 121
Mt Zion, IL 62549

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1447555685 (217) 864-2085

Dolly Briscoe Enterprises, Inc.

3.8 mi

Health Educator

1045 N STATE HIGHWAY 121
Mt Zion, IL 62549

Reassigned Medicare billing, Illinois enrollment
6 clinicians in this Medicare group

NPI 1447555685 (217) 864-2085

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

167 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

21 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 Monica Duran's NPI number?

The NPI number for Monica Duran is 1912176769. It was assigned to this individual provider in the NPPES registry on February 26, 2008.

Where is Monica Duran located?

Monica Duran practices at 3798 East Fulton Ave, Decatur, IL 62521. The listed phone number is (217) 864-2700.

What is Monica Duran's specialty?

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

Is Monica Duran enrolled in Medicare?

Yes. Monica 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.

Which organizations bill Medicare for Monica Duran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Duran reassigns Medicare benefits to 2 organizations: Dolly Briscoe Enterprises, Inc. (Mt Zion, IL) and Dolly Briscoe Enterprises, Inc. (Mt Zion, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Duran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Monica Duran was last updated on December 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.