Carmen Pagan Duran, MD
NPI 1518916295 · Rheumatology Physician · San Juan, PR
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carmen Pagan Duran, MD is a Rheumatology Physician provider in San Juan, PR (NPI 1518916295).
Provider details
- NPI number
- 1518916295
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MA11737000 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Emergency Medical Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
111 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 | 49 | $131 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 24 | $9 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 22 | $187 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 16 | $173 |
Typical Medicare-allowed amounts for these services range $9–$187 (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 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 93 | 25 |
| Methotrexate Sodiumbrand: Methotrexate | 49 | 20 |
| Hydroxychloroquine Sulfate | 37 | 18 |
| Meloxicam | 37 | 17 |
| Alendronate Sodium | 29 | 11 |
| Naproxen | 20 | — |
| Methylprednisolone | 17 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$137 across 3 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
- 2006-05-09
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Frequently asked questions
- What is Carmen Pagan Duran's NPI number?
- Carmen Pagan Duran's National Provider Identifier (NPI) is 1518916295, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carmen Pagan Duran's specialty?
- Carmen Pagan Duran is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Carmen Pagan Duran located?
- Carmen Pagan Duran's practice location on file with NPPES is Calle Aleli Num. 166, San Juan, PR 00927.
- What is Carmen Pagan Duran's phone number?
- The practice phone number listed in the NPPES registry for Carmen Pagan Duran is (787) 281-0231.
- Does Carmen Pagan Duran accept Medicare?
- Carmen Pagan Duran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carmen Pagan Duran's NPI active?
- Yes — Carmen Pagan Duran's NPI (1518916295) is active in the NPPES registry as of the last update on 2023-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.