Paul C. Durbin, M.D.
Internal Medicine Physician · Racine, WI
Paul C. Durbin, M.D. is an internal medicine physician with a practice address in Racine, Wisconsin, and NPI 1255361218, issued on Jul 4, 2006. Check the license (Wisconsin 39523, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Paul C. Durbin
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 39523 WI
Self-reported in NPPES; status is on the state search - Practice location
- 3807 Spring St, Racine, WI 53405
- Phone
- (262) 687-8300
- Enumerated
- Jul 4, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20070315000332); accepts Medicare assignment
- Medical or professional school
- University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb), 1995
- Entity
- Type 1 · individual
Also registered at 3807 Spring St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Patricia Bolling, N.P.Pediatric Nurse Practitioner1972530269
- Joy Briggs, MDPediatrics Physician1891806873
- Jerome Brooks, MDInternal Medicine Physician1346254588
- Rudy Byron, M.D.Family Medicine Physician1376573386
- Kristen Cook, MDPediatrics Physician1548472657
- Gregory Culen, M.D.Hospitalist Physician1912937947
Verify Paul C. Durbin in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 39523Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.9 times the Medicare Part D claims of the average internal medicine physician in 2024
15,542 Medicare Part D claims for 904 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 382 claims were for opioids.
Most prescribed
- Losartan Potassium1,057 claims
- Atorvastatin Calcium929 claims
- Amlodipine Besylate816 claims
- Levothyroxine Sodium640 claims
- Rosuvastatin Calcium537 claims
- Pantoprazole Sodium388 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 82.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $44.33
2 payments; by number, the most common kind was food and beverage; the largest payer was Exact Sciences Corporation. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Ascension Medical Group-Southeast Wisconsin IncBrookfield, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
18 internal medicine physician records list a practice address in Racine
They are 18 of the 1,022 NPPES records with a practice address in Racine, and 2,078 internal medicine physician records in Wisconsin.
All 18 in Racine → All 2,078 in Wisconsin → Every provider in Racine →
Other internal medicine physician records in Wisconsin
- Sheetal Aatrai, MDMarshfield, WI1417568965
- Khalid Abdelgadir, MDManitowoc, WI1407433295
- Mesfin Abdissa, MDMilwaukee, WI1376579417
- Anas Abed, MDMadison, WI1659002566
- Margaret Abel, MDRhinelander, WI1477590487
- Mesfin Abera, M.D.Beaver Dam, WI1972852390
- Vidthya Abraham, M.D.Madison, WI1861836058
- Ismael Abu Limon, MDGreenfield, WI1467945543
- Amjed Abu Muhanna, MDMarinette, WI1861514135
- Satish Achanti, MDAppleton, WI1982711198
Common questions
What is Paul C. Durbin, M.D.'s NPI number?
Paul C. Durbin, M.D.'s National Provider Identifier (NPI) is 1255361218, issued on Jul 4, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Paul C. Durbin, M.D. located?
The NPPES record lists a practice address at 3807 Spring St, Racine, WI, 53405. Phone: (262) 687-8300. Providers update this record themselves, so call before visiting.
How can I verify Paul C. Durbin, M.D.'s license?
NPPES lists Wisconsin license number 39523, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Paul C. Durbin, M.D. prescribe under Medicare Part D?
In 2024, Paul C. Durbin, M.D. had 15,542 Medicare Part D claims for 904 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Paul C. Durbin, M.D.'s MIPS final score?
The 2023 MIPS final score is 82.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.