DENNIS DURHAM MD
NPI 1013945500
Internal Medicine in San Angelo, TX
About Dennis Durham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENNIS DURHAM MD (NPI 1013945500) is an individual internal medicine provider in San Angelo, Texas, licensed in Texas (H6184) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dennis Durham Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dennis Durham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Angelo, TX 76904
- Reassigned Medicare billing, Texas enrollment
- 318 clinicians in this Medicare group
San Angelo, TX 76903
- Reassigned Medicare billing, Texas enrollment
- 671 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Shannon Medical Center
Acute Care Hospitals · San Angelo, TXBallinger Memorial Hospital
Critical Access Hospitals · Ballinger, TXLillian M Hudspeth Memorial Hospital
Critical Access Hospitals · Sonora, TXRankin Hospital Medical Clinic
Critical Access Hospitals · Rankin, TXHeart Of Texas Memorial Hospital
Critical Access Hospitals · Brady, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
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 Dennis Durham's NPI number?
The NPI number for Dennis Durham is 1013945500. It was assigned to this individual provider in the NPPES registry on June 30, 2006.
Where is Dennis Durham located?
Dennis Durham practices at 3501 Knickerbocker Rd, San Angelo, TX 76904. The listed phone number is (325) 947-6063.
What is Dennis Durham's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Dennis Durham enrolled in Medicare?
Yes. Dennis 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.
Which organizations bill Medicare for Dennis Durham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dennis Durham reassigns Medicare benefits to 2 organizations: Regional Employee Assistance Program Inc (San Angelo, TX) and Shannon Clinic (San Angelo, TX). Each 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 Dennis Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dennis Durham accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Dennis 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 Dennis Durham affiliated with any hospitals?
According to CMS data, Dennis Durham is affiliated with Shannon Medical Center, Ballinger Memorial Hospital, Lillian M Hudspeth Memorial Hospital, Rankin Hospital Medical Clinic and Heart Of Texas Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Dennis Durham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dennis Durham, MD · NPI 1013945500
Internal Medicine physician in San Angelo, Texas. Individual provider, active in the CMS NPPES registry since June 30, 2006.
## Identity
- **NPI:** 1013945500 (Entity type: Individual)
- **Enumerated:** June 30, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** H6184 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3501 KNICKERBOCKER RD, San Angelo, TX 76904
- **Phone:** (325) 947-6063 · **Fax:** (325) 947-6189
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Regional Employee Assistance Program Inc (NPI 1124080320, San Angelo, TX); Shannon Clinic (NPI 1770587149, San Angelo, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 1988
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN E76700
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Source: [NPI Profile](https://npiprofile.com/npi/1013945500) · Data from the CMS NPPES public registry.