Randy Durbin, DO
NPI 1255518007 · General Practice Physician · Knoxville, TN
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randy Durbin, DO is a General Practice Physician provider in Knoxville, TN (NPI 1255518007).
Provider details
- NPI number
- 1255518007
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 2024-01606 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
552 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) |
|---|---|---|
| Testing for Presence of Drug, Read By Direct Observation80305 | 358 | $12 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 104 | $118 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 90 | $90 |
Typical Medicare-allowed amounts for these services range $12–$118 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 600 | 165 |
| Gabapentin | 41 | 18 |
| Buprenorphine Hcl/Naloxone Hclbrand: Suboxone | 36 | 12 |
| Atorvastatin Calcium | 29 | 26 |
| Alendronate Sodium | 26 | 19 |
| Buprenorphine Hcl | 25 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (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
Additional practice locations (2)
- 5677 Buford Hwy Ne Ste 210Doraville, GA 30340-1243Phone: (678) 547-1045
- 2330 W Beach DrOak Island, NC 28465-7437Phone: (404) 402-2078Fax: (404) 328-7529
Registry dates
- Enumerated
- 2008-01-23
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Randy Durbin's NPI number?
- Randy Durbin's National Provider Identifier (NPI) is 1255518007, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randy Durbin's specialty?
- Randy Durbin is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Randy Durbin located?
- Randy Durbin's practice location on file with NPPES is 2001 Highland Ave, Knoxville, TN 37916-1217.
- What is Randy Durbin's phone number?
- The practice phone number listed in the NPPES registry for Randy Durbin is (865) 633-0353.
- Does Randy Durbin accept Medicare?
- Randy Durbin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randy Durbin's NPI active?
- Yes — Randy Durbin's NPI (1255518007) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.