Skip to main content
UniHealth

Doctor search

Pedro A Duran, MD

Psychiatry · Berkeley

NPI 1942664842

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
11
1 carrier
Office
1
Since medical school
10 years
Js Weill Medical College, Cornell University, 2016

Offices

1 location · Bay Psychiatric Associates · 60 clinicians in this group

Looking this up.

Plans that list them

11 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Duran’s office at (510) 204-4635 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026

California Medical Board record

Licence A150481 · Current

Licensed to practise in California · since 2017 · expires 2027-03-31 · Cornell University Medical College.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Psychiatry and Neurology - Psychiatry

Original Medicare doctor bills

$191,593

Medicare paid this office $191,593 for 83 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Office for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration,21$136,855$1,329
Therapy using electrical currents46$24,347$89
Short return visit (20+ min)36$9,032$59

Who their Medicare patients are

83 Original Medicare patients in 2024. Average age 63 · Under 65 37% · Women 64% · Also on Medicaid 48% · Health risk score 1.29. At or below the middle of the specialty; the typical psychiatry clinician is at 1.35.

Conditions among them: Depression 75% · High blood pressure 60% · Diabetes 22% · Chronic kidney disease 14% · Cancer 13%.

The office billed $529,950, Medicare allowed $241,732 and paid $191,593; for 747 services of 11 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202483747631.29$529,950$191,593
202362389651.28$430,420$170,461
202273510581.51$287,084$98,931
202145385581.52$109,465$32,272
202013142561.10$37,830$11,056

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Office for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration,17$138,620$1,260
Return visit (30+ min)15$6,479$120
Therapy using electrical currents21$5,134$92
Psychotherapy with evaluation and management visit, 45 minutes12$2,816$78
Psychiatric diagnostic evaluation with medical services12$2,101$175
Short return visit (20+ min)13$1,525$59

2022: 4 services

Original Medicare services billed in 2022
Office for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration,12$60,655$1,189
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes46$20,968$89
Psychotherapy with evaluation and management visit, 30 minutes30$7,778$55
Psychiatric diagnostic evaluation with medical services21$3,030$132

2021: 3 services

Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes39$16,194$92
Psychotherapy with evaluation and management visit, 30 minutes32$6,690$56
Psychiatric diagnostic evaluation with medical services26$3,716$143

2020: 2 services

Original Medicare services billed in 2020
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$6,448$95
Psychotherapy with evaluation and management visit, 30 minutes11$3,892$58

Drugs they prescribed that Part D paid

$21,195

Pharmacies billed $21,195 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 282) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

260 generic and 22 brand-name prescriptions · $21,195 in drug cost · 31 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Belsomra11$4,657$423
Duloxetine20$521$26
Dextroamphetamine-Amphet Er12$375$31
Quetiapine18$369$20
Propranolol12$357$30
See all 12 drugs
Every Part D drug this clinician prescribed
Belsomra11$4,657$423
Duloxetine20$521$26
Dextroamphetamine-Amphet Er12$375$31
Quetiapine18$369$20
Propranolol12$357$30
Lorazepam33$275$8
Lithium Carbonate16$118$7
Zolpidem16$116$7
Bupropion Xl12$94$8
Risperidone12$50$4
Alprazolam13$30$2
Metformin11$26$2

Year by year

Part D prescribing by year
2024282None0% (0)8%$21,195
2023117130% (0)None$5,610
2022119230% (0)9%$11,155
202114121None19%$30,931
2020137110% (0)15%$22,202
201971140% (0)18%$7,696
201816None0% (0)0%$1,125

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Zolpidem12$64$5

2021: 1 drug

Part D drugs prescribed in 2021
Latuda14$21,304$1,522

2020: 2 drugs

Part D drugs prescribed in 2020
Olanzapine21$258$12
Oxcarbazepine16$254$16

2019: 1 drug

Part D drugs prescribed in 2019
Diazepam13$89$7

Professional record

NPI
1942664842
Licence
CA A150481California A150481: Current · expires 2027-03-31
Trained
Js Weill Medical College, Cornell University, 2016 · 10 years ago
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Psychiatry (2084P0800X); Student in a training program (390200000X)
Mailing address
401 Parnassus Ave # 984, San Francisco, CA, 94143
NPI first listed
2016-04-07
NPI last updated
2018-07-17

This is when the NPI record was last certified, not a medical board exam.