Medicare Enrolled

Nelbie Anne Duran, APRN-CNP

Gerontology Nurse Practitioner · Spokane Valley, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1204 N VERCLER RD, Spokane Valley, WA 99216
5092281000
Registered in NPPES since 2021
NPI: 1841874567 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Duran from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Duran

Nelbie Anne Duran is a gerontology nurse practitioner in Spokane Valley, WA, with 5 years of NPI registration. Based on federal Medicare data, Duran performed 2,523 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Duran received a total of $3,062 from 38 pharmaceutical and/or device companies across 115 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Duran is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 5 years of NPI registration ▲ Top 6% volume in WA $3,062 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
2,523
Medicare services
Top 6% in WA for gerontology nurse practitioner
Not available
Unique patients (not deduplicated)
$21
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
567 $8 $19
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
523 $8 $36
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
381 $10 $64
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
372 $52 $248
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
170 $73 $355
Ferritin level test (iron stores)
A blood test that measures the level of ferritin, a protein that stores iron in the body.
122 $13 $60
Iron level test 122 $6 $27
Iron binding capacity test
A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron.
122 $9 $35
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
52 $109 $475
Manual white blood cell count
A laboratory test that involves examining a sample under a microscope to manually count the number of white blood cells present.
35 $4 $22
Complete blood count (CBC), automated
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood.
35 $6 $34
Lactate dehydrogenase (LDH) level test
A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease.
22 $6 $31
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$3,062
Total received (2021-2024)
Avg $765/year across 4 years
Top 7% in WA for gerontology nurse practitioner
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
115
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,498
2023
$839
2022
$584
2021
$141

Payments by company (2024)

Novartis Pharmaceuticals Corporation
$197
AstraZeneca Pharmaceuticals LP
$187
Incyte Corporation
$161
PFIZER INC.
$137
GENZYME CORPORATION
$120
GlaxoSmithKline, LLC.
$116
Janssen Scientific Affairs, LLC
$115
Celgene Corporation
$58
Lilly USA, LLC
$49
BeiGene USA, Inc.
$47
Takeda Pharmaceuticals U.S.A., Inc.
$43
Daiichi Sankyo Inc.
$42
Janssen Biotech, Inc.
$29
Boehringer Ingelheim Pharmaceuticals, Inc.
$27
Octapharma USA, Inc.
$26
Dendreon Pharmaceuticals LLC
$25
ABBVIE INC.
$23
Rigel Pharmaceuticals, Inc.
$23
Fennec Pharmaceuticals, Inc.
$21
Genentech USA, Inc.
$19
ADC Therapeutics America, Inc.
$19
PUMA BIOTECHNOLOGY, INC.
$14
Top 3 companies account for 36.4% of 2024 payments
All-time payments by company (2021-2024) ›
Novartis Pharmaceuticals Corporation
$400
AstraZeneca Pharmaceuticals LP
$382
Incyte Corporation
$277
GENZYME CORPORATION
$254
Amgen Inc.
$193
PFIZER INC.
$151
Celgene Corporation
$147
GlaxoSmithKline, LLC.
$116
Janssen Scientific Affairs, LLC
$115
Seagen Inc.
$83
Gilead Sciences, Inc.
$75
Takeda Pharmaceuticals U.S.A., Inc.
$75
Lilly USA, LLC
$75
EMD Serono, Inc.
$74
Janssen Biotech, Inc.
$51
BeiGene USA, Inc.
$47
Daiichi Sankyo Inc.
$42
Merck Sharp & Dohme LLC
$42
ADC Therapeutics America, Inc.
$39
PUMA BIOTECHNOLOGY, INC.
$29
Boehringer Ingelheim Pharmaceuticals, Inc.
$27
Octapharma USA, Inc.
$26
SOBI, INC
$26
Astellas Pharma US Inc
$25
Dendreon Pharmaceuticals LLC
$25
ABBVIE INC.
$23
CTI BioPharma Corp.
$23
Rigel Pharmaceuticals, Inc.
$23
Karyopharm Therapeutics Inc.
$22
MorphoSys, US Inc.
$22
Regeneron Healthcare Solutions, Inc.
$22
Fennec Pharmaceuticals, Inc.
$21
Bayer Healthcare Pharmaceuticals Inc.
$20
Genentech USA, Inc.
$19
Janssen Pharmaceuticals, Inc
$19
Blueprint Medicines Corporation
$19
AVEO Pharmaceuticals, Inc.
$17
Epizyme, Inc.,
$16
Top 3 companies account for 34.6% of all-time payments
Associated products mentioned in payments ›
ADCETRIS · ALUNBRIG · AYVAKIT · Alecensa · BAVENCIO · BOSULIF · BRUKINSA · CALQUENCE · DARZALEX · Doptelet · ELREXFIO · ENHERTU · ENJAYMO · EPKINLY · Enhertu · FOTIVDA · Fabhalta · GILOTRIF · ICLUSIG · IMFINZI · INJECTAFER · JAKAFI · KEYTRUDA · KISQALI · LIBTAYO · LUMAKRAS · LUTATHERA · LYNPARZA · MEKINIST · MONJUVI · NERLYNX · OJJAARA · PADCEV · PANZYGA · PIQRAY · PROVENGE · Padcev · Pedmark · REBLOZYL · Rezlidhia · SARCLISA · SCEMBLIX · TABRECTA · TAGRISSO · TALVEY · TAZVERIK · TUKYSA · Trodelvy · VERZENIO · VPRIV · Vonjo · XALKORI · XARELTO · XGEVA · XPOVIO
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a gerontology nurse practitioner in Spokane Valley?
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Geographic Context

Gerontology nurse practitioners in nearby ZIP areas
17
County median income
$73,513
Nearest hospital to ZIP centroid (approximate)
MULTICARE VALLEY HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Duran is a clinical cardiology specialist, with above-average Medicare volume (top 6% in WA).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Duran experienced with blood draw (venipuncture)?
Based on Medicare claims data, Duran performed 567 blood draw (venipuncture) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Duran receive payments from pharmaceutical companies?
Yes. Duran received a total of $3,062 from 38 companies across 115 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Duran's costs compare to other gerontology nurse practitioners in Spokane Valley?
Duran's average Medicare payment per service is $21. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Duran) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →