Theresa Durbin, PA-C
NPI 1639120967 · Physician Assistant · Springfield, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Durbin, PA-C is a Physician Assistant provider in Springfield, IL (NPI 1639120967).
Provider details
- NPI number
- 1639120967
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085001121 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
1,134 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 | 593 | $106 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 295 | $8 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 99 | $14 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 75 | $93 |
| Creatinine Level to Test for Kidney Function Or Muscle Injury82570 | 21 | $5 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Potassium Chloride | 96 | 31 |
| Furosemide | 82 | 40 |
| Losartan Potassium | 78 | 34 |
| Hydralazine Hcl | 62 | 20 |
| Lisinopril | 58 | 25 |
| Dapagliflozin Propanediolbrand: Farxiga | 53 | — |
| Spironolactone | 43 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$307 across 15 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
- 2006-05-12
- Last updated
- 2020-05-22
- Certified
- 2020-05-22
Frequently asked questions
- What is Theresa Durbin's NPI number?
- Theresa Durbin's National Provider Identifier (NPI) is 1639120967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Durbin's specialty?
- Theresa Durbin is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Durbin located?
- Theresa Durbin's practice location on file with NPPES is 900 N 1st St, Springfield, IL 62702-3749.
- What is Theresa Durbin's phone number?
- The practice phone number listed in the NPPES registry for Theresa Durbin is (217) 528-7541.
- Does Theresa Durbin accept Medicare?
- Theresa Durbin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Durbin's NPI active?
- Yes — Theresa Durbin's NPI (1639120967) is active in the NPPES registry as of the last update on 2020-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.