Dr John P Durbin, MD - Medicare Internal Medicine in Saint Louis, MO

Dr John P Durbin, MD is a medicare enrolled "Internal Medicine" physician in Saint Louis, Missouri. He went to Southern Illinois University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Legacy Healthcare Services Inc, Musc Community Physicians and his current practice location is 1035 Bellevue Ave, 400, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 925-4700.

Dr John P Durbin is licensed to practice in Missouri (license number 2014009218) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497983787.

Contact Information

Dr John P Durbin, MD
1035 Bellevue Ave, 400,
Saint Louis, MO 63117-1854
(314) 925-4700
(314) 925-4751

Map and Direction




Physician's Profile

Full NameDr John P Durbin
GenderMale
SpecialityInternal Medicine
Experience17 Years
Location1035 Bellevue Ave, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John P Durbin attended and graduated from Southern Illinois University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1497983787
  • Provider Enumeration Date: 06/25/2009
  • Last Update Date: 10/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4385861012
  • Enrollment ID: I20231122002571

Medical Identifiers

Medical identifiers for Dr John P Durbin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497983787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2014009218 (Missouri)Primary
207R00000XInternal Medicine 2009010808 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health Of CamdenCamden, SCHome health agency
Kershawhealth Home HealthLugoff, SCHome health agency
Amedisys Home Health Of LexingtonLexington, SCHome health agency
KershawhealthCamden, SCHospital
Musc Medical CenterCharleston, SCHospital
Ssm Health St Mary's Hospital - St LouisRichmond heights, MOHospital
Providence HealthColumbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223341
Musc Community Physicians6507260668793

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John P Durbin allows following entities to bill medicare on his behalf.
Entity NameMusc Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John P Durbin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John P Durbin, MD
Po Box 955534,
Saint Louis, MO 63195-5534

Ph: () -
Dr John P Durbin, MD
1035 Bellevue Ave, 400,
Saint Louis, MO 63117-1854

Ph: (314) 925-4700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.