Paul Durbin, M.D.
NPI 1255361218 · Internal Medicine Physician · Racine, WI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Durbin, M.D. is a Internal Medicine Physician provider in Racine, WI (NPI 1255361218).
Provider details
- NPI number
- 1255361218
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 39523 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,103 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 692 | $90 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 264 | $122 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 46 | $8 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 33 | $134 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 31 | $61 |
| Annual Wellness Visit; Includes a Personalized Prevention Plan of Service (pps), Initial Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 166 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Losartan Potassium | 1,057 | 270 |
| Atorvastatin Calcium | 929 | 265 |
| Amlodipine Besylate | 816 | 215 |
| Levothyroxine Sodium | 640 | 144 |
| Rosuvastatin Calcium | 537 | 153 |
| Pantoprazole Sodium | 388 | 98 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$44 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2007-07-08
Frequently asked questions
- What is Paul Durbin's NPI number?
- Paul Durbin's National Provider Identifier (NPI) is 1255361218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Durbin's specialty?
- Paul Durbin is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Durbin located?
- Paul Durbin's practice location on file with NPPES is 3807 Spring St, Racine, WI 53405-1667.
- What is Paul Durbin's phone number?
- The practice phone number listed in the NPPES registry for Paul Durbin is (262) 687-8300.
- Does Paul Durbin accept Medicare?
- Paul Durbin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Durbin's NPI active?
- Yes — Paul Durbin's NPI (1255361218) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.