JOSHUA DURHAM D.O.
NPI 1013194208
Family Medicine in Boise, ID

Q: What is Joshua Durham's NPI number?

The NPI number for Joshua Durham is 1013194208. It was assigned to this individual provider in the NPPES registry on January 30, 2008.

Q: What is Joshua Durham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Durham was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 30, 2008PECOS EnrolledAccepts Medicare Assignment

8921 W HACKAMORE DR, BOISE, ID 83709(208) 994-4123 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Nov 10, 2016 (2 updates tracked since 2016).

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About Joshua Durham D.o. NPPES

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

JOSHUA DURHAM D.O. (NPI 1013194208) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (O-0684) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1013194208

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSHUA DURHAMCredential: D.O.

Location Address8921 W HACKAMORE DRBoise, ID 83709-1673

Mailing Address8921 W Hackamore DrBoise, ID 83709-1673 · (208) 994-4123

Phone(208) 994-4123

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJanuary 30, 2008

Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1013194208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · O-0684

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8921 W HACKAMORE DR, Boise, ID 83709

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Other Identifiers 2

OtherPENDINGKS · License

Other2007018939CO · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joshua Durham D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799858437

PECOS Enrollment IDI20130204000202

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

215 services83 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

81 services49 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

64 services50 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

50 services50 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130013

Location4300 E Flamingo AveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83709 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers20 claims72 services$4.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. ASHLEY M DURHAM PHARMD

Pharmacist

8921 W HACKAMORE DR
BOISE, ID 83709

Ada County (208) 994-4123

DR. AMY MGONJA PHARMD

Pharmacist

8921 W HACKAMORE DR
BOISE, ID 83709

Ada County (208) 994-4123

BROOKLYN MCNEIL GRANGE

Physician Assistant

8921 W HACKAMORE DR
BOISE, ID 83709

Ada County (208) 994-4123

A PROMISE OF HOPE, INC.

Hospice Care, Community Based

8921 W HACKAMORE DR, SUITE B
BOISE, ID 83709

Ada County (208) 377-4673

NORTHWEST OCCUPATIONAL MEDICINE & NEUROSURGICAL SPINE INSTITUTE LLC

Clinic/Center (Occupational Medicine)

8921 W HACKAMORE DR
BOISE, ID 83709

Ada County (208) 375-1105

JESSICA ANN GARDNER

Physical Therapist

8921 W HACKAMORE DR
BOISE, ID 83709

Ada County (208) 375-1105

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 Joshua Durham's NPI number?

The NPI number for Joshua Durham is 1013194208. It was assigned to this individual provider in the NPPES registry on January 30, 2008.

Where is Joshua Durham located?

Joshua Durham practices at 8921 W Hackamore Dr, Boise, ID 83709. The listed phone number is (208) 994-4123.

What is Joshua Durham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joshua Durham enrolled in Medicare?

Yes. Joshua Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joshua Durham accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Joshua 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.

Is Joshua Durham affiliated with any hospitals?

According to CMS data, Joshua Durham is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center and Saint Alphonsus Medical Center - Nampa.

When was this NPI record last updated?

The NPPES record for Joshua Durham was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.