Dr. Paul C. Durbin, MD

  • Mount Pleasant, WI
  • Internist
NPI1255361218PAC ID6507969383
Medicare services, 2024
1,103
Medicare patients, 2024
347
Part D claims, 2024
15,542
MIPS score, 2024
75
Hospital affiliations
4
Practice address
3801 Spring St, Racine, WI 53405
Practice phone
Call (262) 687-4011
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Ascension All Saints Hospital

Hospital · Racine, Wisconsin

See all 9 affiliations

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Dr. Paul C. Durbin is an internist in Mount Pleasant, Wisconsin

Dr. Durbin practices at Ascension All Saints Hospital in Racine, Wisconsin, part of Ascension Health Alliance.

Dr. Durbin's NPI, 1255361218, was assigned on July 4, 2006. Dr. Durbin graduated from University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) in 1995. Dr. Durbin holds Wisconsin license 39523.

NPI and contact details
Medicare PAC ID
6507969383
NPI enumeration date
July 4, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(262) 687-4011
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
57
Medical school graduation
1995

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Paul C. Durbin practices at Ascension All Saints Hospital in Racine, Wisconsin

Dr. Durbin's primary practice is Ascension All Saints Hospital, at 3801 Spring St, Racine, WI 53405 in Racine County. The practice phone is (262) 687-4011.

Source: Dmand AI Affiliation Data

Dr. Paul C. Durbin is affiliated with 8 sites of care and 1 medical group

Dr. Durbin's primary practice is Ascension All Saints Hospital in Racine, Wisconsin, part of Ascension Health Alliance. Dr. Durbin is also affiliated with Froedtert Hospital. The medical group on file is Ascension Medical Group. Dmand AI also links Dr. Durbin to 2 more hospitals, 2 home health agencies, 1 group practice or clinic and 1 hospice, each named with a free account.

See all 9 affiliations for Dr. Durbin

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Paul C. Durbin's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Durbin practices, 8 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Ascension All Saints HospitalAvailable with a free account
+7 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Paul C. Durbin is one of 1,675 internists in Wisconsin

Internal medicine is Dr. Durbin's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Durbin is licensed in Wisconsin.

Specialties and state licenses

  • Internal medicine, WisconsinPrimaryLicense 39523 · taxonomy 207R00000X

Internists near Dr. Durbin

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Paul C. Durbin billed Medicare for 1,103 services in 2024

CMS data shows 1,103 Medicare services from Dr. Durbin across 7 procedure codes in 2024, for 347 Medicare patients. Medicare paid $82,947 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 20241,103
Medicare patients347
Paid by Medicare$82,947
Procedure codes7

Dr. Durbin's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 8262024: 7568%
Other services
2023: 3052024: 3011%
Tests and treatments
2023: 612024: 4625%

Dr. Durbin compared with the Wisconsin median for internists, 2024

  • Dr. Durbin
  • Wisconsin median
Medicare services
1,103vs 4572.4 times
Medicare patients
347vs 19974% above
Part D claims
14,795vs 43334.2 times

Medians across 1,658 internists in Wisconsin with Dmand AI profiles that report each measure.

Dr. Durbin's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Durbin

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Paul C. Durbin treated 347 Medicare patients in 2024, average age 75

CMS counts 347 Medicare patients who saw Dr. Durbin in 2024. The largest group is 65 to 74, with 161 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 6% are also on Medicaid. Their average risk score is 1.00, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Durbin's median patient age at 72, with 48% women.

Medicare patients, 2024347
Average age75
Average risk score1.00
Also on Medicaid6%

Dr. Durbin's Medicare patients by age, 2024

Dr. Durbin's Medicare patients by sex, 2024

  • Women19055%
  • Men15745%

Chronic conditions among Dr. Durbin's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis47%
  4. Ischemic heart disease29%
  5. Diabetes28%
  6. Chronic kidney disease20%
  7. Anxiety19%
  8. Osteoporosis16%

Share of Medicare patients with each condition. A patient can have several.

Dr. Durbin's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 72

Patient panel by sex, all payers

  • Women48%
  • Men51%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Paul C. Durbin wrote 15,542 Medicare Part D claims in 2024

In 2024, Dr. Durbin wrote 15,542 Medicare Part D claims for 904 patients. 85% of them were for generic drugs. CMS names the drug for 14,795 of them, across 166 drugs with 11 or more claims each, at $1,255,872 in total drug cost. In 2023, CMS named 14,845 claims across 166 drugs.

Part D claims, 202415,542
Drugs named by CMS166
Total drug cost$1.3M
Part D patients904

Dr. Durbin's Part D claims by kind of drug, 2024

  • Generic13,270 claims85%
  • Brand-name2,158 claims14%
  • Other114 claims1%

Dr. Durbin's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Durbin's Part D claims, 2024

  • Opioids2%382 of 15,542 claims
  • Antibiotics2%291 of 15,542 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 14,8452024: 14,795No change

Drugs named by CMS: 166 in 2024, 166 in 2023.

See all prescribing by Dr. Durbin

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Paul C. Durbin scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. Durbin for performance year 2024, reported through an alternative payment model (APM). Dr. Durbin accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes
MIPS final score, 2024
75 of 100

Removal or shaving of skin growth: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Paul C. Durbin received $4,569 in industry payments from 2016 to 2025

CMS Open Payments shows 364 general payments to Dr. Durbin from 36 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. Sanofi and Genzyme US Companies paid the most, $605.

General payments to Dr. Durbin by program year, 2016 to 2025

General payments to Dr. Durbin by kind, 2016 to 2025

$4.6Kin total
  • Food and beverage$4,51199%
  • Education$581%

Companies that paid Dr. Durbin the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Durbin

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Paul C. Durbin graduated from University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb)

Dr. Durbin graduated from University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) in 1995.

  1. Medical schoolUniversity of Illinois College of Med (Chi/Peor/Rock/Chm-Urb)

Source: Dmand AI Professional Profile Data

Sources for Dr. Paul C. Durbin's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Paul C. Durbin

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Paul C. Durbin's NPI number?

Dr. Paul C. Durbin's NPI number is 1255361218. It was assigned on July 4, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Paul C. Durbin?

Dr. Paul C. Durbin is an internist in Mount Pleasant, Wisconsin. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Paul C. Durbin practice?

Dr. Durbin practices at 3801 Spring St, Racine, WI 53405. Dr. Durbin's primary practice is Ascension All Saints Hospital in Racine, Wisconsin, part of Ascension Health Alliance. Dmand AI also links Dr. Durbin to 2 hospitals, 2 home health agencies, 1 group practice or clinic and 1 hospice.

What is Dr. Paul C. Durbin's office phone number?

The practice phone on file for Dr. Durbin is (262) 687-4011.

What is Dr. Paul C. Durbin's medical license number?

Dr. Durbin holds Wisconsin license 39523.

Which hospitals is Dr. Paul C. Durbin affiliated with?

Dr. Durbin practices at Ascension All Saints Hospital in Racine, Wisconsin. Dr. Durbin is also affiliated with Froedtert Hospital. Dmand AI links Dr. Durbin to 2 more hospitals.

What medical group is Dr. Paul C. Durbin part of?

Dr. Durbin is linked to Ascension Medical Group.

Does Dr. Paul C. Durbin accept Medicare?

Yes. CMS data shows Dr. Durbin billed Medicare for 1,103 services in 2024, and Dr. Durbin accepts Medicare assignment.

What is Dr. Paul C. Durbin's MIPS score?

Dr. Durbin's MIPS final score for performance year 2024 is 75 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Paul C. Durbin see?

CMS counts 347 Medicare patients who saw Dr. Durbin in 2024, with an average age of 75.

Show 5 more questionsShow fewer questions

What services does Dr. Paul C. Durbin bill to Medicare?

In 2024, Dr. Durbin's most billed Medicare services were office visit, established patient (99214), medicare service (G0439) and heart test or procedure (93010).

Where did Dr. Paul C. Durbin go to medical school?

Dr. Durbin graduated from University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) in 1995.

What drugs does Dr. Paul C. Durbin prescribe most?

In 2024 Medicare Part D data, Dr. Durbin's most prescribed drugs by claims were Losartan Potassium, Atorvastatin Calcium and Amlodipine Besylate.

Has Dr. Paul C. Durbin received payments from drug or device companies?

CMS Open Payments shows $4,569 in general payments to Dr. Durbin from 36 companies from 2016 to 2025. The largest total came from Sanofi and Genzyme US Companies.

How long has Dr. Paul C. Durbin been practicing?

Dr. Durbin graduated from medical school in 1995, 31 years ago.

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