DR. SUSAN LICATA DURHAM OD
NPI 1023043163
Optometrist - Pediatrics in Raleigh, NC

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
10207 CERNY ST, SUITE 100, RALEIGH, NC 27617(919) 361-2299(919) 361-0055 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1023043163
Entity TypeIndividualFemale
Primary Taxonomy152WP0200X
Provider Legal NameDR. SUSAN LICATA DURHAMCredential: OD
Location Address10207 CERNY ST, SUITE 100Raleigh, NC 27617-7878
Mailing Address10207 Cerny St, Suite 100Raleigh, NC 27617-7878 · (919) 361-2299 · Fax (919) 361-0055
Fax(919) 361-0055
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1989
Enumeration DateJuly 11, 2006
Last NPPES UpdateSeptember 29, 2011
NPI 1023043163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
License Licensed in NC · 1335
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 1335 (NC)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 1335 (NC)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 1335 (NC)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 1335 (NC)
10207 CERNY ST, Raleigh, NC 27617

Other Identifiers 4

Other1223620002NC · Palmetto Dmerc
Other410036278NC · Railroad Medicare
Medicare PIN2467869HNC
Medicare UPINU28219NC

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.

PECOS PAC ID2769467505
PECOS Enrollment IDI20100331001281
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 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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
212 services199 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.
153 services129 patients
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.
116 services111 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
33 services30 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
18 services16 patients

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.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Registered Nurse (Diabetes Educator)
10207 CERNY ST
RALEIGH, NC 27617
Internal Medicine (Nephrology)
10207 CERNY ST, SUITE 306
RALEIGH, NC 27617
Physician Assistant
10207 CERNY ST, SUITE 312
RALEIGH, NC 27617
Special Hospital
10207 CERNY ST
RALEIGH, NC 27617
Dentist (General Practice)
10207 CERNY ST, SUITE 106
RALEIGH, NC 27617
Dentist
10207 CERNY ST, SUITE 106
RALEIGH, NC 27617
Dietitian, Registered
10207 CERNY ST
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.