Mark Durden, MD
NPI 1518087907 · Specialist · Macon, GA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Durden, MD is a Specialist provider in Macon, GA (NPI 1518087907).
Provider details
- NPI number
- 1518087907
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 45681 (GA)
Specialties & taxonomies
Other Service Providers
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
144 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 Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 78 | $34 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 66 | $62 |
Typical Medicare-allowed amounts for these services range $34–$62 (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 · 78 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 629 | 82 |
| Clonazepam | 326 | 57 |
| Gabapentin | 320 | 61 |
| Sertraline Hcl | 277 | 46 |
| Trazodone Hcl | 237 | 51 |
| Lurasidone Hcl | 235 | 56 |
| Benztropine Mesylate | 201 | 37 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,580 across 68 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
- 2007-03-30
- Last updated
- 2009-09-29
Frequently asked questions
- What is Mark Durden's NPI number?
- Mark Durden's National Provider Identifier (NPI) is 1518087907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Durden's specialty?
- Mark Durden is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Mark Durden located?
- Mark Durden's practice location on file with NPPES is 1095 Gray Hwy, Macon, GA 31211-1856.
- What is Mark Durden's phone number?
- The practice phone number listed in the NPPES registry for Mark Durden is (478) 745-6119.
- Does Mark Durden accept Medicare?
- Mark Durden is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Durden's NPI active?
- Yes — Mark Durden's NPI (1518087907) is active in the NPPES registry as of the last update on 2009-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.