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DR. JON DURRANI DO
NPI 1932495157
Psychiatry & Neurology - Neurology in Centerville, OH

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459(937) 439-6186(937) 439-6189 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2024, Feb 11, 2020, Apr 21, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Jon Durrani Do NPPES

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

DR. JON DURRANI DO (NPI 1932495157) is an individual neurology provider in Centerville, Ohio, licensed in Ohio (34.011257) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2011).

NPPES Registry Identity

NPI1932495157
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JON DURRANICredential: DO
Location Address1975 MIAMISBURG CENTERVILLE RDCenterville, OH 45459-3811
Mailing Address1975 Miamisburg Centerville RdCenterville, OH 45459-3811 · (937) 439-6186 · Fax (937) 439-6189
Phone(937) 439-6186
Fax(937) 439-6189
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateJuly 11, 20244 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1932495157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in OH · 34.011257
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1975 MIAMISBURG CENTERVILLE RD, Centerville, OH 45459
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

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. Jon Durrani Do 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 ID941448955
PECOS Enrollment IDI20170418001800
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

5

Medicare enrollment records show Jon Durrani reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dayton Center For Neurological Disorders Inc
Same address
Neurology
1975 MIAMISBURG CENTERVILLE RD
Centerville, OH 45459
  • Reassigned Medicare billing, Ohio enrollment
  • 29 clinicians in this Medicare group
NPI 1699728972 (937) 439-6186
Kettering Independent Medical Group Inc
1.5 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629
Wilmington Physicians Group LLC
23 mi
Family Medicine
610 W MAIN ST
Wilmington, OH 45177
  • Reassigned Medicare billing, Ohio enrollment
  • 74 clinicians in this Medicare group
NPI 1932401411 (937) 382-5438
Trihealth H LLC
28 mi
Pulmonary Disease
10496 MONTGOMERY RD
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1548695638 (513) 793-2654
Highland District Hospital Professional Services Corporation
43 mi
Family Medicine
1275 N HIGH ST
Hillsboro, OH 45133
  • Reassigned Medicare billing, Ohio enrollment
  • 31 clinicians in this Medicare group
NPI 1205893351 (937) 393-6101

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 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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
136 services136 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services65 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.
56 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
44 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Reported Quality Measures

Advance Care Plan
82%408 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
32%285 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
13%472 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
84%80 patients4/55-star benchmark: 91%
Dementia: Cognitive Assessment
47%55 patients
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%38 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,018 patients5/55-star benchmark: 100%
e-Prescribing
99%376 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
64%397 patients3/55-star benchmark: 100%
HIV Screening
0%468 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%836 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
29%729 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%878 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 589 patients
Patients screened: 100% · 589 patients
18%50 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
67%285 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
65%181 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 410 patients
Patients totalRate: 7% · 413 patients
4%413 patients4/55-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 13

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
12 suppliers90 claims90 services$34.54 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers57 claims58 services$77.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers51 claims135 services$30.09 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers43 claims238 services$14.42 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers25 claims145 services$12.77 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
10 suppliers77 claims77 services$46.50 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 20

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

DR. TIMOTHY LEE SCHOONOVER D.O.
Psychiatry & Neurology (Neurology)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
RACHEL HURTUBISE PA-C
Physician Assistant
1975 MIAMISBURG CENTERVILLE RD
WASHINGTON TOWNSHIP, OH 45459
Montgomery County (937) 439-6186
CAMILLE ELIZABETH HUGHES PA-C
Physician Assistant (Medical)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
KIRSTEN M UPTON PA-C
Physician Assistant
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
MARTHA ELIZABETH BAUMANN
Nurse Practitioner
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
MEGAN MILLER FNP-C
Nurse Practitioner (Family)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
ANGELA SUE WRIGHT NP
Nurse Practitioner (Family)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186
MS. KRISTI R KAEFF PA
Physician Assistant (Medical)
1975 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 439-6186

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 Jon Durrani's NPI number?

The NPI number for Jon Durrani is 1932495157. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Jon Durrani located?

Jon Durrani practices at 1975 Miamisburg Centerville Rd, Centerville, OH 45459. The listed phone number is (937) 439-6186.

What is Jon Durrani's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jon Durrani enrolled in Medicare?

Yes. Jon Durrani 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 Jon Durrani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Durrani reassigns Medicare benefits to 5 organizations: Dayton Center For Neurological Disorders Inc (Centerville, OH), Kettering Independent Medical Group Inc (Miamisburg, OH), Wilmington Physicians Group LLC (Wilmington, OH), Trihealth H LLC (Cincinnati, OH) and Highland District Hospital Professional Services Corporation (Hillsboro, OH). 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 Jon Durrani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Durrani accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Jon Durrani 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 Jon Durrani affiliated with any hospitals?

According to CMS data, Jon Durrani is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg, Soin Medical Center and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Jon Durrani was last updated on July 11, 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.