DR. SUSAN LICATA DURHAM OD
NPI 1023043163
Optometrist - Pediatrics in Raleigh, NC
About Dr. Susan Licata Durham Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN LICATA DURHAM OD (NPI 1023043163) is an individual pediatrics provider in Raleigh, North Carolina, licensed in North Carolina (1335) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1989).
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 4
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
Dr. Susan Licata Durham Od 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.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RALEIGH, NC 27617
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 Susan Durham's NPI number?
The NPI number for Susan Durham is 1023043163. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is Susan Durham located?
Susan Durham practices at 10207 Cerny St Suite 100, Raleigh, NC 27617. The listed phone number is (919) 361-2299.
What is Susan Durham's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.
Is Susan Durham enrolled in Medicare?
Yes. Susan 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 Susan Durham accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Susan 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 Susan Durham was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.