CARL JOSEPH DURIAS PA
NPI 1992347793
Physician Assistant in Chevy Chase, MD

Active since October 13, 2019PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
5530 WISCONSIN AVE STE 1660, CHEVY CHASE, MD 20815(301) 657-9876(301) 657-8229 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2020, Oct 13, 2019 (2 updates tracked since 2019).

About Carl Joseph Durias Pa NPPES

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

CARL JOSEPH DURIAS PA (NPI 1992347793) is an individual physician assistant in Chevy Chase, Maryland, licensed in Maryland (C07710) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hanover, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992347793
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCARL JOSEPH DURIASCredential: PA
Location Address5530 WISCONSIN AVE STE 1660Chevy Chase, MD 20815-4322
Mailing Address5530 Wisconsin Ave Ste 1660Chevy Chase, MD 20815-4322 · (301) 657-9876 · Fax (301) 657-8229
Fax(301) 657-8229
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 13, 2019
Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
NPI 1992347793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MD · C07710 Licensed in DC · PA031854
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN1015131 (DC)
5530 WISCONSIN AVE STE 1660, Chevy Chase, MD 20815

Secondary Practice Location 1

Location 17009 Arundel Mills CirHanover, MD 21076-1387 · Phone (410) 777-1888

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

Carl Joseph Durias Pa 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 ID446661185
PECOS Enrollment IDI20201201001565
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 12

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.
126 services104 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
52 services51 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
42 services24 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
39 services19 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
25 services13 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.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20815 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.68
Promoting Interoperability100
Improvement Activities40
Cost64

Referred Medical Equipment & Supplies CMS DME claims

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier16 claims16 services$694.81 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 11

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

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5530 WISCONSIN AVE STE 1660
CHEVY CHASE, MD 20815
Physician Assistant
5530 WISCONSIN AVE STE 1660
CHEVY CHASE, MD 20815
Orthopaedic Surgery
5530 WISCONSIN AVE STE 1660
CHEVY CHASE, MD 20815
Physical Therapist
5530 WISCONSIN AVE STE 1660
CHEVY CHASE, MD 20815
Durable Medical Equipment & Medical Supplies
5530 WISCONSIN AVE STE 1660
CHEVY CHASE, MD 20815
Orthopaedic Surgery
5530 WISCONSIN AVE STE 1660
CHEVY CHASE, MD 20815
Orthopaedic Surgery (Hand Surgery)
5530 WISCONSIN AVE STE 1660
CHEVY CHASE, MD 20815
Orthopaedic Surgery
5530 WISCONSIN AVE STE 1660
CHEVY CHASE, MD 20815

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 Carl Durias's NPI number?

The NPI number for Carl Durias is 1992347793. It was assigned to this individual provider in the NPPES registry on October 13, 2019.

Where is Carl Durias located?

Carl Durias practices at 5530 Wisconsin Ave Ste 1660, Chevy Chase, MD 20815. The listed phone number is (301) 657-9876.

What is Carl Durias's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carl Durias enrolled in Medicare?

Yes. Carl Durias 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.

When was this NPI record last updated?

The NPPES record for Carl Durias was last updated on October 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.