Doctor profile · Federal record
Dr. Paul Durbin, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Racine, WI
- NPI 1255361218
- Accepts Medicare
- MIPS 80.9 / 100 · 2023
- 31 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3807 Spring St
Racine, WI 534051667
(262) 687-8300
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Wisconsin #39523
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255361218. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,192
Distinct HCPCS
7
Medicare allowed
$115,543
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 740 | 338 | $93 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 272 | 272 | $125 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 61 | 55 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 57 | 47 | $63 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 29 | 25 | $137 | |
G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 17 | 17 | $126 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 16 | 16 | $159 |
In context: peer comparison
Among 9 peers in Racine Internal Medicine Physician, average services per provider: 114. This provider delivers 10× the peer median.Open Payments
Industry payments received
All-time total
$44
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Exact Sciences Corporation | 1 | $30.10 | |
| Tactile Systems Technology INC | 1 | $14.23 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
6,718
Patients
1,819
Total drug cost
$345,694
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Losartan Potassium | Generic | 923 | 251 | $15,130 |
| Atorvastatin Calcium | Generic | 868 | 229 | $8,991 |
| Amlodipine Besylate | Generic | 831 | 214 | $6,010 |
| Levothyroxine Sodium | Generic | 613 | 151 | $11,300 |
| Rosuvastatin Calcium | Generic | 447 | 135 | $6,109 |
| Lisinopril | Generic | 371 | 98 | $2,937 |
| Omeprazole | Generic | 349 | 96 | $6,075 |
| Pantoprazole Sodium | Generic | 333 | 88 | $6,132 |
| Metoprolol Succinate | Generic | 328 | 88 | $6,230 |
| Pravastatin Sodium | Generic | 303 | 78 | $5,107 |
Frequently asked questions
What is Dr. Paul Durbin's medical specialty?
Dr. Paul Durbin practices Internal Medicine Physician in Racine, WI.
Where does Dr. Paul Durbin practice?
Dr. Paul Durbin practices at 3807 Spring St, Racine, WI 534051667. Office phone: 2626878300.
What is Dr. Paul Durbin's NPI?
Dr. Paul Durbin's National Provider Identifier (NPI) is 1255361218, issued by NPPES.
Does Dr. Paul Durbin accept Medicare assignment?
Yes. Dr. Paul Durbin accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paul Durbin commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010). Source: CMS Medicare Physician & Other Practitioners file.