Active NPI 1588615538 Individual Practitioner Male Practitioner

Michael B Durbin , PA

Physician Assistant • Cornelius, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Durbin, PA is a certified Physician Assistant practicing in Cornelius, NC. With approximately 29 years of clinical experience since completing medical education in 1997, Michael Durbin delivers high-quality medical care to the local community at 17078 NAT BYNUM LN UNIT 3.

Michael Durbin is affiliated with Carolina Medicorp Enterprises Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17078 Nat Bynum Ln Unit 3

Cornelius, NC 280310507

Telephone 7043243975

Fax 7043243974

Associated Practice Facility / Clinic

🏢 Novant Health Medical Group, Llc Facility NPI 1639179393

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cornelius, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +10.8 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

13 Specialists

Practicing in Cornelius, NC (9374 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Durbin (29 Years) 29 Yrs

Cornelius Specialty Average (18.2 Years) 18.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	133	116	$192.44	$72.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$341.00	$88.44
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	46	46	$79.00	$50.28
81003 Automated urinalysis test	30	27	$12.00	$2.20
87502 Detection test by nucleic acid for multiple types influenza virus	17	17	$145.00	$93.88
87651 Detection test for Strep (Streptococcus, group A)	13	12	$127.00	$34.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	84	$187.40	$72.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$341.00	$89.96
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	62	62	$79.00	$49.47
81003 Automated urinalysis test	31	28	$12.00	$2.20
87502 Detection test by nucleic acid for multiple types influenza virus	21	21	$145.00	$89.91
87651 Detection test for Strep (Streptococcus, group A)	17	17	$127.00	$34.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	14	$71.13	$11.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$291.00	$102.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$484.00	$133.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	116	$158.90	$75.33
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	104	98	$79.00	$50.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$248.01	$92.14
81003 Automated urinalysis test	28	28	$10.14	$2.22
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$162.00	$60.58
87502 Detection test by nucleic acid for multiple types influenza virus	15	15	$145.00	$94.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$57.50	$11.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	134	127	$79.00	$51.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	84	$234.00	$93.87
99213 Established patient office or other outpatient visit, typically 15 minutes	58	54	$158.00	$76.34
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$162.00	$60.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	39	$99.00	$46.88
81003 Automated urinalysis test	20	19	$10.00	$2.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	14	$56.00	$11.76
71046 X-ray of chest, 2 views	13	13	$31.00	$9.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	63	$158.00	$62.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	14	$12.00	$1.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	42	$233.00	$90.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$245.00	$96.65
81003 Automated urinalysis test	18	17	$10.00	$2.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	13	$56.00	$11.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$234.00	$89.60
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	11	11	$79.00	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	50	$158.00	$60.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	43	$233.00	$88.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	14	$56.00	$13.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$245.00	$95.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	63	$158.00	$59.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	35	$233.00	$87.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	17	$56.00	$16.56
G0008 Administration of influenza virus vaccine	17	17	$56.00	$19.38
90653 Vaccine for influenza for injection into muscle	15	15	$74.00	$53.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$245.00	$94.81
83036 Hemoglobin A1C level	11	11	$41.00	$11.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	54	$144.50	$59.48
J0696 Injection, ceftriaxone sodium, per 250 mg	40	11	$33.00	$0.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$210.38	$87.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$56.00	$20.50

Medical Specialties & State Licenses

CMS Verified: 2021-08-13

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 104046

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NC 104046

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rr Medicare

P00155286 (NC)

Hospital & Practice Group Affiliations

Carolina Medicorp Enterprises Llc

9121 Sam Furr Rd, Huntersville, NC 280788235

Phone: 7043243590

Carolina Medicorp Enterprises Llc

3836 Corning Pl, Charlotte, NC 282161224

Phone: 7043172108

Carolina Medicorp Enterprises Llc

17078 Nat Bynum Ln, Cornelius, NC 280310507

Phone: 7043243975

Secondary Practice Locations

19485 Old Jetton Rd, Ste 100

Cornelius, NC 280316582

Phone: 7043841775

Practice Associates & Co-Workers

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

3 Associated Practitioners

Lauren Cress , PA

Physician Assistant

NPI 1134585896

Physician Assistant

Kristina Taylor-Lewis , FNP-BC

Nurse Practitioner

NPI 1457776874

Family Nurse Practitioner (Board Certified)

Erin Wagner , MPA-C

Physician Assistant

NPI 1821250671

MPAC

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location November 19, 2020

Registered at 17078 NAT BYNUM LN UNIT 3, CORNELIUS, NC 280310507 (Tel: 7043243975)

✅

NPI Profile Active March 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 11, 2015

Registered at 19485 OLD JETTON RD, STE 100, CORNELIUS, NC 280316582 (Tel: 7043841775)

📍

Updated Business Mailing Address March 11, 2015

Registered at PO BOX 60447, CHARLOTTE, NC 282600447 (Tel: 7043841775)

👤

Provider Name / Credentials Updated March 11, 2015

Recorded as MICHAEL DURBIN, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2015

Physician Assistant (License #104046 in NC)

🟢

Initial NPI Registration & Enumeration May 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588615538

Entity Type:

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

Enumeration Date: May 15, 2006

Last Update: August 13, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 60447

Charlotte, NC 282600447

Phone: 7043841775

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.