Paul C. Durbin, M.D.
NPI 1255361218ActiveIndividual· Internal Medicine· Racine, WI
Internal Medicine (M.D.) in Racine, Wisconsin, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 1995). Their prescriptions cost Medicare Part D more than their services did: $1,430,321 for 15,542 claims, against $84,295 paid for services in 2024. Exact Sciences Corporation reported $20.38 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1255361218 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 4, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 39523 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 347 |
|---|---|
| Services billed | 1,218 across 13 procedure codes |
| Paid by Medicare | $84,295 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15,542 · 36,138 30-day fills |
|---|---|
| Patients | 904 |
| Total drug cost | $1,430,321 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Internal Medicine |
Medical group
- Ascension Medical Group-Southeast Wisconsin IncBrookfield, WI · 545 clinicians
Hospital affiliations
- Ascension All Saints HospitalRacine, WI
- Ascension Se Wisconsin HospitalMilwaukee, WI
- Aurora Medical Center KenoshaKenosha, WI
- Froedtert Memorial Lutheran HospitalMilwaukee, WI
Other facilities
- Ascension at HomeHome health agency · Milwaukee, WI
- Aurora at HomeHome health agency · Milwaukee, WI
- Hospice AllianceHospice · Pleasant Prairie, WI
Industry payments (Open Payments)
- 2025$20.38 · 1 payment from 1 company
- 2024$44.33 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $20.38 | 1 |
What the 2025 payments were for
- Food and Beverage$20.38 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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