Raul Vasquez Duran, MD
NPI 1366971244 · Family Medicine Physician · Elizabeth, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raul Vasquez Duran, MD is a Family Medicine Physician provider in Elizabeth, NJ (NPI 1366971244).
Provider details
- NPI number
- 1366971244
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10746400 (NJ)
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
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
316 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 | 64 | $140 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 62 | $100 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 60 | $68 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 50 | $9 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 31 | $3 |
| Annual Alcohol Misuse Screening, 5 to 15 MinutesG0442 | 23 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 78 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 242 | 94 |
| Metformin Hcl | 158 | 50 |
| Gabapentin | 152 | 47 |
| Famotidine | 138 | 56 |
| Amlodipine Besylate | 135 | 51 |
| Levothyroxine Sodium | 121 | 34 |
| Diclofenac Sodium | 97 | 34 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$74 across 4 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
Additional practice locations (1)
- 330 Lafayette AveHawthorne, NJ 07506-2506Phone: (973) 389-5280Fax: (973) 389-5281
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2022-06-29
- Certified
- 2022-06-29
Frequently asked questions
- What is Raul Vasquez Duran's NPI number?
- Raul Vasquez Duran's National Provider Identifier (NPI) is 1366971244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raul Vasquez Duran's specialty?
- Raul Vasquez Duran is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Raul Vasquez Duran located?
- Raul Vasquez Duran's practice location on file with NPPES is 1019 E Jersey St, Elizabeth, NJ 07201-5503.
- What is Raul Vasquez Duran's phone number?
- The practice phone number listed in the NPPES registry for Raul Vasquez Duran is (908) 440-6395.
- Does Raul Vasquez Duran accept Medicare?
- Raul Vasquez Duran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raul Vasquez Duran's NPI active?
- Yes — Raul Vasquez Duran's NPI (1366971244) is active in the NPPES registry as of the last update on 2022-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.