2026 NPPES data Family Medicine Physician NPI 1154734861 M.D.
Verify on CMS →

ANDRES DURAN, M.D.

Family Medicine Physician in ERIE, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
7K
Medicare Part D claims · 646 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.7848/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

ANDRES DURAN, M.D. reported a CMS MIPS final score of 93.7848/100 — above the 83.1 national average — and filed 7,133 Medicare Part D claims in 2023.

93.7848/100
MIPS score · +11 vs avg
7K
Part D claims, 2023
89%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANDRES DURAN, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

94 Top 29% higher than 71% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ANDRES DURAN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ANDRES DURAN, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/10/2014

NPI 1154734861

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

7,133 109% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

93.7848/100 10.68480000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Family Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Family Medicine Physician share within Pennsylvania

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Pennsylvania

Medicare quality performance — MIPS

ANDRES DURAN, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
93.7848/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 93.7848/100 vs national avg 83.1

0%100%National avg83%93.8%
MIPS final score (Family Medicine Physician) — 93.7848/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDRES DURAN, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 4950 BUFFALO RD, ERIE, PA, 16510, with a listed phone of (814) 899-7000. NPI 1154734861 was issued on 06/10/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DURAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 7,133 prescription claims written by this provider, covering 646 Medicare beneficiaries and totaling roughly $730K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.7848/100 for the 2023 performance year (Quality 85.0781), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4950 BUFFALO RD
ERIE, PA 16510

Provider Details

NPI 1154734861
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/10/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.7848
Final Score
Avg: 83.1
85.0781
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ANDRES DURAN, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

KEYSTONE REHABILITATION SYSTEMS INC
ERIE, PA
ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
ERIE, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to ANDRES DURAN, M.D.. To verify ANDRES DURAN, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ANDRES DURAN, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 7,133 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

7,133
Total Claims
$730K
Total Drug Cost
646
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,400
Total Day Supply
448,899
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$607K
Generic Drug Cost
$121K
Opioid Claims
226 (3.2% rate)
Antibiotic Claims
94

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.22
Gender Split
54% female / 46% male
Age Distribution
<65: 95, 65-74: 301, 75-84: 177, 85+: 73

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ANDRES DURAN, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
470
Lisinopril
315
Amlodipine Besylate
209
Pantoprazole Sodium
201
Metformin Hcl
191
Levothyroxine Sodium
175
Hydrochlorothiazide
161
Furosemide
146
Metoprolol Succinate
137
Omeprazole
135

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How ANDRES DURAN, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ANDRES DURAN, M.D.'s 7,133 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as DURAN.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDRES DURAN, M.D.'s specialty?
ANDRES DURAN, M.D. specializes in Family Medicine Physician and practices in ERIE, Pennsylvania. Credentials: M.D..
How much does ANDRES DURAN, M.D. prescribe under Medicare Part D?
In 2023, ANDRES DURAN, M.D. wrote 7,133 Medicare Part D claims totaling $730K in drug costs for 646 beneficiaries.
What is ANDRES DURAN, M.D.'s Medicare quality score?
ANDRES DURAN, M.D. has a CMS MIPS Final Score of 93.7848/100 (Quality: 85.0781). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDRES DURAN, M.D. located?
ANDRES DURAN, M.D. is located at 4950 BUFFALO RD, ERIE, PA, 16510. Phone: (814) 899-7000.
What is ANDRES DURAN, M.D.'s NPI number?
ANDRES DURAN, M.D.'s National Provider Identifier (NPI) is 1154734861, issued on 06/10/2014.
Does ANDRES DURAN, M.D. prescribe more brand-name or generic drugs?
ANDRES DURAN, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $607K in brand drug costs.
Does ANDRES DURAN, M.D. prescribe opioids?
Yes, ANDRES DURAN, M.D. had 226 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does ANDRES DURAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ANDRES DURAN, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDRES DURAN, M.D. accept Medicare?
ANDRES DURAN, M.D. appears in CMS Medicare data with 7,133 Part D claims and 646 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDRES DURAN, M.D.'s credentials?
ANDRES DURAN, M.D.'s NPI is 1154734861 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology