DENNIS DURHAM MD
NPI 1013945500
Internal Medicine in San Angelo, TX

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904(325) 947-6063(325) 947-6189 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1013945500
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDENNIS DURHAMCredential: MD
Location Address3501 KNICKERBOCKER RDSan Angelo, TX 76904
Mailing Address3501 Knickerbocker RdSan Angelo, TX 76904 · (325) 947-6063 · Fax (325) 947-6189
Fax(325) 947-6189
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1988
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1013945500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · H6184
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3501 KNICKERBOCKER RD, San Angelo, TX 76904

Other Identifiers 1

Medicare UPINE76700

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

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.

PECOS PAC ID5698878940
PECOS Enrollment IDI20070307000370
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 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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
182 services180 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services18 patients

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, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Schleicher County Medical Center

Critical Access Hospitals · Eldorado, TX
OwnershipProprietary
CMS Certification Number451304
Location102 North Us Highway 277Eldorado, TX 76936 · Schleicher County
Emergency services

Ballinger Memorial Hospital

Critical Access Hospitals · Ballinger, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451310
Location608 Avenue BBallinger, TX 76821 · Runnels County
Emergency services

Lillian M Hudspeth Memorial Hospital

Critical Access Hospitals · Sonora, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451324
Location308 HudspethSonora, TX 76950 · Sutton County
Emergency services

Heart Of Texas Memorial Hospital

Critical Access Hospitals · Brady, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451348
Location2008 Nine RoadBrady, TX 76825 · Mc Culloch County
Emergency services

Physician 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.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers37 claims38 services$16.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$93.25 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 20

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

Obstetrics & Gynecology
3501 KNICKERBOCKER RD, WILLIAMS FAMILY CENTER
SAN ANGELO, TX 76904
Obstetrics & Gynecology
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Internal Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Pediatrics (Neonatal-Perinatal Medicine)
3501 KNICKERBOCKER RD, ROOM 104
SAN ANGELO, TX 76904
Emergency Medicine
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Anesthetist, Certified Registered
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Anesthetist, Certified Registered
3501 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Specialist
3501 KNICKERBOCKER RD
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.

What insurance does Dennis Durham accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas 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, Schleicher County Medical Center, Ballinger Memorial Hospital, Lillian M Hudspeth Memorial Hospital 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 with the weekly NPPES data releases published by CMS.