GRETCHEN E DURKIN M.D.
NPI 1790900900
Otolaryngology in Milwaukee, WI
NPI Status: Active since April 14, 2007
Contact Information
2350 N LAKE DR
SUITE 406
MILWAUKEE, WI
ZIP 53211
Phone: (414) 271-4141
Fax: (414) 271-4343
- Individual
- Female
- Otolaryngology
- PECOS Enrolled
About GRETCHEN DURKIN
This page provides the complete NPI Profile along with additional information for Gretchen Durkin, a provider established in Milwaukee, Wisconsin with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1790900900 assigned on April 2007. The practitioner's primary taxonomy code is 207Y00000X with license number 24504 (WI). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1790900900
- Provider Name
- GRETCHEN E DURKIN M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2350 N LAKE DR SUITE 406 MILWAUKEE, WI 53211
- Location Phone
- (414) 271-4141
- Location Fax
- (414) 271-4343
- Mailing Address
- 4425 N PORT WASHINGTON RD ATTN: CSMCP CLINIC CREDENTIALING GLENDALE, WI 53212
- Mailing Phone
- (414) 271-4141
- Mailing Fax
- (414) 271-4343
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-14-2007
- Last Update Date
- 06-12-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 24504
- License State
- WI
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B52557 | MEDICARE UPIN (02) | WI | |
| 01528 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | |
| 30729700 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Gretchen Durkin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53211 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 9 | 0 | 0 | 9 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 18 | 0 | 0 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 8 + 0 + 0 + 9 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1790900900 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194721407 | DR. NGUYEN H PHAN MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 2350 N LAKE DR STE 206 MILWAUKEE, WI 53211 (414) 298-7280 |
| 1073510004 | MICHAEL E KEEFE MD Individual | Internal Medicine (Hematology & Oncology) | 2350 N LAKE DR SUITE 100 MILWAUKEE, WI 53211 (414) 298-7250 |
| 1811997612 | LUCINDA K FENSKE M.D. Individual | Obstetrics & Gynecology | 2350 N LAKE DR SUITE 502 MILWAUKEE, WI 53211 (414) 271-3300 |
| 1932193638 | LISA A KORBAN FNP, APNP Individual | Nurse Practitioner (Primary Care) | 2350 N LAKE DR SUITE 400 MILWAUKEE, WI 53211 (414) 271-1633 |
| 1518958057 | RANJINI B GANDHAVADI M.D. Individual | Radiology (Radiation Oncology) | 2350 N LAKE DR SUITE G01 MILWAUKEE, WI 53211 (414) 291-1556 |
| 1740271287 | RADIATION ONCOLOGY OF WISCONSIN S C Organization | Radiology (Radiation Oncology) | 2350 N LAKE DR RADIATION ONCOLOGY DEPT. MILWAUKEE, WI 53211 (414) 291-1556 |
| 1316938855 | CRAIG A SCHULZ M.D. Individual | Radiology (Radiation Oncology) | 2350 N LAKE DR SUITE G01 MILWAUKEE, WI 53211 (414) 291-1556 |
| 1811971328 | DR. PAUL D BURSTEIN MD Individual | Obstetrics & Gynecology | 2350 N LAKE DR SUITE 201 MILWAUKEE, WI 53211 (414) 272-3000 |
| 1326022849 | DR. ALLEN H BABBITZ MD Individual | Obstetrics & Gynecology | 2350 N LAKE DR SUITE 201 MILWAUKEE, WI 53211 (414) 272-3000 |
| 1992751317 | DAVID L HOOGERLAND MD Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 2350 N LAKE DR SUITE 501 MILWAUKEE, WI 53211 (414) 298-7170 |
| 1235178674 | DR. DAVID W GRAMBOW MD Individual | Internal Medicine (Cardiovascular Disease) | 2350 N LAKE DR SUITE 400 MILWAUKEE, WI 53211 (414) 271-1633 |
| 1245278852 | DR. JAMES MATHEW MD Individual | Internal Medicine (Cardiovascular Disease) | 2350 N LAKE DR SUITE 400 MILWAUKEE, WI 53211 (414) 271-1633 |
| 1386684231 | DR. ROBERT B ROTH MD Individual | Internal Medicine (Cardiovascular Disease) | 2350 N LAKE DR SUITE 400 MILWAUKEE, WI 53211 (414) 271-1633 |
| 1043312937 | KELLY A ISHERWOOD PA-C Individual | Physician Assistant | 2350 N LAKE DR SUITE 206 MILWAUKEE, WI 53211 (414) 298-7280 |
| 1750460200 | CHARLES H TIBER MD Individual | Internal Medicine (Hematology & Oncology) | 2350 N LAKE DR #100 MILWAUKEE, WI 53211 (414) 298-7250 |
| 1730251331 | MR. TERRENCE J WILKINS MD Individual | Plastic Surgery (Surgery of the Hand) | 2350 N LAKE DR SUITE 501 MILWAUKEE, WI 53211 (414) 963-1700 |
| 1831262534 | DR. RANVEER NAND M.D. Individual | Internal Medicine (Hematology & Oncology) | 2350 N LAKE DR SUITE 100 MILWAUKEE, WI 53211 (414) 298-7250 |
| 1679623326 | JONATHAN H BERKOFF MD Individual | Obstetrics & Gynecology | 2350 N LAKE DR SUITE 500 MILWAUKEE, WI 53211 (414) 289-9669 |
| 1528268471 | DR. ERIKA L SWANSON MD Individual | Radiology (Therapeutic Radiology) | 2350 N LAKE DR SUITE G01 MILWAUKEE, WI 53211 (414) 291-1556 |
| 1225297856 | DR. VARSHA V SHAH M.D. Individual | Internal Medicine (Hematology & Oncology) | 2350 N LAKE DR #100 MILWAUKEE, WI 53211 (414) 298-7250 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790900900, enumerated in the NPI registry as an "individual" on April 14, 2007
The provider is located at 2350 N Lake Dr Suite 406 Milwaukee, Wi 53211 and the phone number is (414) 271-4141
The provider's speciality is Otolaryngology with taxonomy code 207Y00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $123.69 with an average copayment of $30.92 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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