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DR. MATTHEW P. DURHAM D.D.S.
NPI 1003960436
Dentist - General Practice in Grand Rapids, MI

Active since January 23, 2007PECOS Enrolled
2700 5 MILE RD NE, STE. #201, GRAND RAPIDS, MI 49525(616) 361-1727(616) 361-1455 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Matthew P. Durham D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW P. DURHAM D.D.S. (NPI 1003960436) is an individual general practice provider in Grand Rapids, Michigan, licensed in Michigan (290107668) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003960436
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATTHEW P. DURHAMCredential: D.D.S.
Location Address2700 5 MILE RD NE, STE. #201Grand Rapids, MI 49525-1710
Mailing Address2700 5 Mile Nerd 201Grand Rapids, MI 49525-6516 · (616) 361-1727 · Fax (616) 361-0060
Phone(616) 361-1727
Fax(616) 361-1455
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateDecember 8, 2015
✔ NPI 1003960436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 290107668
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2700 5 MILE RD NE, Grand Rapids, MI 49525
Open in Google Maps ↗

Other Identifiers 1

Medicaid4361190MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew P. Durham D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Durham & Mehling DDS PC
2.0 mi
Dentist
2700 5 MILE NE, STE 201
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1023097474 (616) 361-1727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPREHENSIVE EYE CARE PC
Optometrist
2700 5 MILE RD NE
GRAND RAPIDS, MI 49525
Kent County (616) 361-6612
DR. KATIE MARIE VAN HAREN DDS
Dentist
2700 5 MILE RD NE, SUITE 100
GRAND RAPIDS, MI 49525
Kent County (616) 361-9290
NORTHVIEW FAMILY DENTISTRY
Dentist (General Practice)
2700 5 MILE RD NE, #202
GRAND RAPIDS, MI 49525
Kent County (616) 364-8769
DR. NICHOLE BRINKMAN LUBBERTS D.D.S
Dentist
2700 5 MILE RD NE, #202
GRAND RAPIDS, MI 49525
Kent County (813) 951-1716
THOMAS E DANCEY DDS
Dentist (General Practice)
2700 5 MILE RD NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-8769
DR. ANDREW MICHAEL VANHAREN D.D.S.
Dentist (General Practice)
2700 5 MILE RD NE, SUITE #100
GRAND RAPIDS, MI 49525
Kent County (616) 361-9290
ROYCE A POEL D.D.S.
Dentist (General Practice)
2700 5 MILE RD NE
GRAND RAPIDS, MI 49525
Kent County (616) 361-9290
WOODLAND CHIROPRACTIC PLLC
Chiropractor
2700 5 MILE RD NE, SUITE 101
GRAND RAPIDS, MI 49525
Kent County (616) 361-9888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Durham's NPI number?

The NPI number for Matthew Durham is 1003960436. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Matthew Durham located?

Matthew Durham practices at 2700 5 Mile Rd NE Ste. #201, Grand Rapids, MI 49525. The listed phone number is (616) 361-1727.

What is Matthew Durham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Matthew Durham enrolled in Medicare?

Yes. Matthew Durham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Durham reassigns Medicare benefits to Durham & Mehling DDS PC (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Durham accept?

Health plans from Delta Dental of Michigan list Matthew Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Durham was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.