Monica Duran, M.D.
NPI 1912176769 · Family Medicine Physician · Decatur, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Duran, M.D. is a Family Medicine Physician provider in Decatur, IL (NPI 1912176769).
Provider details
- NPI number
- 1912176769
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036107993 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
188 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 167 | $22 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 21 | $53 |
Typical Medicare-allowed amounts for these services range $22–$53 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-26
- Last updated
- 2015-12-16
Frequently asked questions
- What is Monica Duran's NPI number?
- Monica Duran's National Provider Identifier (NPI) is 1912176769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Duran's specialty?
- Monica Duran is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Monica Duran located?
- Monica Duran's practice location on file with NPPES is 3798 East Fulton Ave, Decatur, IL 62521.
- What is Monica Duran's phone number?
- The practice phone number listed in the NPPES registry for Monica Duran is (217) 864-2700.
- Does Monica Duran accept Medicare?
- Monica Duran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Duran's NPI active?
- Yes — Monica Duran's NPI (1912176769) is active in the NPPES registry as of the last update on 2015-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.