Active NPI 1639120967 Individual Practitioner Female Practitioner

Theresa M Durbin , PA-C

Physician Assistant • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Theresa Durbin, PA-C is a certified Physician Assistant practicing in Springfield, IL. With approximately 28 years of clinical experience since completing medical education in 1998, Theresa Durbin delivers high-quality medical care to the local community at 900 N 1ST ST.

Theresa Durbin is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

900 N 1st St

Springfield, IL 627023749

Telephone 2175287541

Fax 2175222448

Associated Practice Facility / Clinic

🏢 Springfield Clinic, Llp Facility NPI 1780638478

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +16.1 yrs vs City Avg

City Avg: 11.9 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

103 Specialists

Practicing in Springfield, IL (4958 Statewide)

Telehealth Adoption Rate

10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Durbin (28 Years) 28 Yrs

Springfield Specialty Average (11.9 Years) 11.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	593	386	$584.49	$106.35
36415 Insertion of needle into vein for collection of blood sample	295	210	$8.54	$8.23
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	99	99	$73.00	$13.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	75	50	$518.00	$92.68
82570 Creatinine level to test for kidney function or muscle injury	21	18	$89.00	$5.08
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	19	16	$84.00	$6.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$777.00	$141.38
90935 Hemodialysis procedure with physician evaluation	13	13	$483.00	$54.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	777	473	$555.00	$106.27
82570 Creatinine level to test for kidney function or muscle injury	417	269	$89.00	$5.08
36415 Insertion of needle into vein for collection of blood sample	263	139	$6.00	$5.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	61	$471.00	$100.10
90935 Hemodialysis procedure with physician evaluation	23	20	$483.00	$60.03
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	20	16	$84.00	$6.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	518	403	$512.21	$106.98
82570 Creatinine level to test for kidney function or muscle injury	195	161	$89.00	$5.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	134	72	$329.00	$56.26
36415 Insertion of needle into vein for collection of blood sample	113	84	$6.00	$2.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	111	63	$471.00	$85.12
99213 Established patient office or other outpatient visit, typically 15 minutes	48	47	$319.00	$76.10
90935 Hemodialysis procedure with physician evaluation	16	14	$483.00	$61.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	718	290	$329.00	$60.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	350	155	$471.00	$86.94
99213 Established patient office or other outpatient visit, typically 15 minutes	310	209	$317.00	$75.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	799	293	$329.00	$62.10
99213 Established patient office or other outpatient visit, typically 15 minutes	358	238	$294.00	$62.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	256	126	$454.00	$89.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,022	351	$113.28	$61.47
99213 Established patient office or other outpatient visit, typically 15 minutes	569	350	$109.30	$61.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	186	103	$210.06	$87.56
36415 Insertion of needle into vein for collection of blood sample	99	69	$3.15	$2.85
81001 Manual urinalysis test with examination using microscope, automated	37	18	$3.52	$3.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	17	$17.43	$8.46
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	21	11	$13.95	$4.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$116.64	$90.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	877	329	$79.58	$61.05
99213 Established patient office or other outpatient visit, typically 15 minutes	682	384	$80.25	$59.46
36415 Insertion of needle into vein for collection of blood sample	101	59	$3.00	$2.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	42	$113.17	$87.73
81001 Manual urinalysis test with examination using microscope, automated	29	16	$3.92	$3.84
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	21	11	$4.38	$4.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$114.74	$88.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,036	343	$81.57	$59.60
99213 Established patient office or other outpatient visit, typically 15 minutes	559	298	$82.70	$57.72
36415 Insertion of needle into vein for collection of blood sample	71	40	$3.03	$2.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	37	$114.20	$87.43
81001 Manual urinalysis test with examination using microscope, automated	19	12	$4.35	$4.26

Medical Specialties & State Licenses

CMS Verified: 2020-05-22

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085001121

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

600 N Main St, Taylorville, IL 625681668

Phone: 2178248191

Springfield Clinic, Llp

2200 Wabash Ave, Springfield, IL 627045352

Phone: 2177870727

Springfield Clinic, Llp

250 W Kenwood Ave, Decatur, IL 625264371

Phone: 2175287541

Springfield Clinic, Llp

1250 E Tremont St, Hillsboro, IL 620491912

Phone: 2175326911

Springfield Clinic, Llp

20613 N Broad St, Carlinville, IL 626263720

Phone: 2178545099

Springfield Clinic, Llp

1025 S 6th St, Springfield, IL 627032403

Phone: 2175287541

Springfield Clinic, Llp

800 N 1st St, Springfield, IL 627023719

Phone: 2175287541

Springfield Clinic, Llp

801 W Temple Ave, Effingham, IL 624012168

Phone: 2175287541

Springfield Clinic, Llp

400 Saint Johns Dr, Sherman, IL 626849779

Phone: 2175254150

Springfield Clinic, Llp

900 N 1st St, Springfield, IL 627023749

Phone: 2175287541

Springfield Clinic, Llp

350 W Carpenter St, Springfield, IL 627024902

Phone: 2175250210

Springfield Clinic, Llp

1215 Franciscan Dr 2nd Flr, Litchfield, IL 620561778

Phone: 2173248420

Springfield Clinic, Llp

1280 E Tremont St, Hillsboro, IL 620491912

Phone: 2175322320

Springfield Clinic, Llp

300 N Broad St, Carlinville, IL 626261304

Phone: 2175287541

Springfield Clinic, Llp

206 N Pearl St, Teutopolis, IL 624671134

Phone: 2175287541

Springfield Clinic, Llp

775 Engineering Ave, Springfield, IL 627035909

Phone: 2175224300

Springfield Clinic, Llp

1204 E Tremont St, Hillsboro, IL 620491912

Phone: 2175326266

Springfield Clinic, Llp

1200 E Tremont St, Hillsboro, IL 620491912

Phone: 2175324126

Springfield Clinic, Llp

1000 W Morton Ave, Jacksonville, IL 626503152

Phone: 2172436520

Springfield Clinic, Llp

100 Stahlhut Dr, Lincoln, IL 626565059

Phone: 2177359555

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864

Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546

Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

Barbara Wolfson , LCPC

Counselor

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location May 01, 2019

Registered at 900 N 1ST ST, SPRINGFIELD, IL 627023749 (Tel: 2175287541)

✅

NPI Profile Active April 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2016

Registered at 1100 CENTRE WEST DR, SPRINGFIELD, IL 627042100 (Tel: 2175287541)

📍

Updated Business Mailing Address April 27, 2016

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤

Provider Name / Credentials Updated April 27, 2016

Recorded as THERESA DURBIN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2016

Physician Assistant (License #085001121 in IL)

🟢

Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Theresa Durbin. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1639120967

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 12, 2006

Last Update: May 22, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.