DR. MONICA DURAN (M.D.) – Family Medicine Physician, NPI 1912176769

Family Medicine Physician

DR. MONICA DURAN (M.D.) is a healthcare provider. based in Decatur, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036107993 (IL). The NPI Number for DR. MONICA DURAN (M.D.) is 1912176769

Main info

Female

Sole Proprietor

31 Years Of Experience

Accepts Medicare Assignment

Name

DR. MONICA DURAN (M.D.)

NPI

1912176769

Phone

(217) 864-2700

Address

3798 EAST FULTON AVE

Enumeration Date

26 February 2008

Last Update Date

16 December 2015

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2178558808

Graduation Year

1995 (31 years ago)

PAC ID

5890698732

Group Practice PAC ID

1951769843

Professional Enrollment ID

I20040129000144

Address ID

IL624012027EF1105XAVEX500

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience50

Completeness75

Years active:18State licenses:1Digital endpointsOther names

5,041 FAMILY PRACTICE in IL

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Provider Addresses for DR. MONICA DURAN (M.D.)

3798, East Fulton Avenue, Scovill Gardens, Decatur, Macon County, Illinois, 62521, United States
DECATUR, IL 62521
Phone: (217) 864-2700
Fax: (217) 422-3930
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20040129000144	I	Family Practice	IL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99211	Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	121	15	$0

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Insurance plans in this area (ZIP 62521)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1951769843View full group profile