COURTNEY DAWN DURHAM CNP
NPI 1013522614
Nurse Practitioner - Family in Chillicothe, OH

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
272 HOSPITAL RD, CHILLICOTHE, OH 45601(740) 779-7500 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Mar 12, 2021, Sep 10, 2020 (3 updates tracked since 2020).

About Courtney Dawn Durham Cnp NPPES

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

COURTNEY DAWN DURHAM CNP (NPI 1013522614) is an individual family provider in Chillicothe, Ohio, licensed in Ohio (APRN.CNP.0028529) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013522614
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY DAWN DURHAMCredential: CNP
Location Address272 HOSPITAL RDChillicothe, OH 45601-9031
Mailing Address4529 Marietta RdChillicothe, OH 45601-8447 · (740) 542-9933
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 10, 2020
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1013522614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.0028529
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN.386408 (OH)
272 HOSPITAL RD, Chillicothe, OH 45601

Accepted 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

Courtney Dawn Durham Cnp 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 ID1052728961
PECOS Enrollment IDI20210319002198
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.

Hospital Affiliations CMS Care Compare

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Anesthesiology
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Pharmacist
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Nurse Anesthetist, Certified Registered
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Internal Medicine
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Internal Medicine
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Pharmacist
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Internal Medicine
272 HOSPITAL RD
CHILLICOTHE, OH 45601

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 Courtney Durham's NPI number?

The NPI number for Courtney Durham is 1013522614. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Courtney Durham located?

Courtney Durham practices at 272 Hospital Rd, Chillicothe, OH 45601. The listed phone number is (740) 779-7500.

What is Courtney Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Courtney Durham enrolled in Medicare?

Yes. Courtney 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 Courtney Durham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Courtney 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 Courtney Durham affiliated with any hospitals?

According to CMS data, Courtney Durham is affiliated with Adena Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Courtney Durham was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.