Active NPI 1053317297 Individual Practitioner Male Practitioner

Dr. Robert R Duran , MD

Surgery • San Marcos, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Duran, MD is a certified Surgery practicing in San Marcos, TX. With approximately 44 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1982, Dr. Duran delivers high-quality medical care to the local community at 1305 WONDER WORLD DR STE 209.

Dr. Duran is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1305 Wonder World Dr Ste 209

San Marcos, TX 786667541

Telephone 5123536400

Fax 5123533039

Associated Practice Facility / Clinic

🏢 Caring Center For Women, Pa Facility NPI 1962420794

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in San Marcos, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +16.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

5 Specialists

Practicing in San Marcos, TX (2342 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duran (44 Years) 44 Yrs

San Marcos Specialty Average (28.0 Years) 28.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$375.00	$164.18
99213 Established patient office or other outpatient visit, typically 15 minutes	33	23	$204.00	$89.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	26	$300.00	$128.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	11	$159.00	$77.30
49650 Repair of groin hernia using an endoscope	14	14	$2042.57	$511.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$441.00	$169.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$375.00	$154.33
99213 Established patient office or other outpatient visit, typically 15 minutes	42	27	$204.00	$86.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$289.00	$122.59
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$3520.00	$314.43
99441 Telephone medical discussion with physician, 5-10 minutes	15	14	$126.00	$53.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$300.00	$125.13
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$62.00	$17.17
49650 Repair of groin hernia using an endoscope	14	14	$1789.86	$471.48
47562 Removal of gallbladder using an endoscope	14	14	$2217.00	$632.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$364.68	$161.42
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$192.62	$84.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	24	$300.00	$129.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$86.30	$36.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$261.11	$124.41
49650 Repair of groin hernia using an endoscope	15	15	$1455.47	$454.86
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$3547.00	$308.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$494.02	$163.66
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$264.03	$89.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	16	$215.27	$67.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$500.00	$155.71
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$226.00	$73.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$327.91	$105.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	14	$222.00	$71.99
47562 Removal of gallbladder using an endoscope	14	14	$2141.71	$553.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$425.00	$137.07
49650 Repair of groin hernia using an endoscope	13	13	$1492.38	$410.38
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$316.00	$100.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	62	$224.00	$70.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$499.00	$157.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	17	$223.00	$71.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	16	$121.00	$38.77
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$303.55	$99.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$328.00	$105.90
47562 Removal of gallbladder using an endoscope	15	15	$2126.00	$631.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$421.00	$134.70
49650 Repair of groin hernia using an endoscope	13	13	$1587.69	$416.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	51	$219.00	$70.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$498.00	$159.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$322.00	$98.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	17	$121.00	$38.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$420.00	$133.45
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$313.00	$98.63
47562 Removal of gallbladder using an endoscope	11	11	$2110.00	$585.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	48	$130.00	$41.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	21	$121.00	$38.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$498.00	$157.11
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$219.00	$69.10
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$313.00	$98.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$322.00	$102.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$326.00	$99.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$620.00	$196.50

Medical Specialties & State Licenses

CMS Verified: 2021-07-01

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX G3318

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

032802302 (TX)

Commercial Insurance / Payer ID Rr Medicare

P01827417

Commercial Insurance / Payer ID Medicare

TXB163371

Hospital & Practice Group Affiliations

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Christus Trinity Clinic

Po Box, Dallas, TX 752846098

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Michael Blair , DO

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1104037100

Doctor of Osteopathic Medicine (D.O.)

Jessica Sanders , FNP

Nurse Practitioner - Family

NPI 1154447852

Family Nurse Practitioner

Traci Forrest , CNS APRN

Clinical Nurse Specialist - Adult Health

NPI 1295755965

CNSAPRN

Dr. Robert Vanboven , MD DDS

Psychiatry & Neurology - Neurology

NPI 1316000326

MDDDS

Dr. Jesus Sahad , MD

Internal Medicine - Pulmonary Disease

NPI 1346333283

Doctor of Medicine (M.D.)

Dr. Michael Davies , DO

Obstetrics & Gynecology

NPI 1477085579

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location January 07, 2019

Registered at 1305 WONDER WORLD DR STE 209, SAN MARCOS, TX 786667541 (Tel: 5123536400)

✅

NPI Profile Active December 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 07, 2012

Registered at 497 10TH STREET, STE 101, FLORESVILLE, TX 781143178 (Tel: 8303932555)

📍

Updated Business Mailing Address December 07, 2012

Registered at 1340 WONDER WORLD DR, STE 4301, SAN MARCOS, TX 786667598 (Tel: 5123536400)

👤

Provider Name / Credentials Updated December 07, 2012

Recorded as ROBERT DURAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2012

Surgery (License #G3318 in TX)

🟢

Initial NPI Registration & Enumeration June 22, 2005

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: 1053317297

Entity Type:

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

Enumeration Date: June 22, 2005

Last Update: July 01, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1340 Wonder World Dr, Ste 4301

San Marcos, TX 786667598

Phone: 5123536400

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.