TODD ALVIN DURHAM D.O.
NPI 1063634293
Radiology - Diagnostic Radiology in Florence, AL

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
97.5/100
CMS Quality Rating
205 MARENGO ST, FLORENCE, AL 35630(256) 381-0400(256) 386-0065 Get Directions Write a Review

NPPES record last updated: May 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Todd Alvin Durham D.o. NPPES

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

TODD ALVIN DURHAM D.O. (NPI 1063634293) is an individual diagnostic radiology provider in Florence, Alabama, licensed in Alabama (DO1067) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1063634293
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTODD ALVIN DURHAMCredential: D.O.
Location Address205 MARENGO STFlorence, AL 35630-6033
Mailing AddressPo Box 229Sheffield, AL 35660-0229 · (256) 381-0400 · Fax (256) 386-0065
Fax(256) 386-0065
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2005
Enumeration DateMay 3, 2007
Last NPPES UpdateMay 23, 2013
NPI 1063634293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in AL · DO1067
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

205 MARENGO ST, Florence, AL 35630

Other Identifiers 1

Medicare PIN102I302143AL

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

Todd Alvin Durham D.o. 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 ID2961534623
PECOS Enrollment IDI20100715000151, I20211011002493, I20240417000055
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 59

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
836 services668 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
234 services227 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
209 services200 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
199 services197 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
158 services158 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
116 services115 patients

Hospital Affiliations CMS Care Compare 3

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35630 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

97.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95
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.

Radiology (Diagnostic Radiology)
205 MARENGO ST
FLORENCE, AL 35630
Emergency Medicine
205 MARENGO ST
FLORENCE, AL 35630
Emergency Medicine
205 MARENGO ST
FLORENCE, AL 35630
Emergency Medicine
205 MARENGO ST
FLORENCE, AL 35630
General Acute Care Hospital
205 MARENGO ST
FLORENCE, AL 35630
Anesthesiology
205 MARENGO ST
FLORENCE, AL 35630
Anesthesiology
205 MARENGO ST
FLORENCE, AL 35630
Emergency Medicine
205 MARENGO ST
FLORENCE, AL 35630

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 Todd Durham's NPI number?

The NPI number for Todd Durham is 1063634293. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Todd Durham located?

Todd Durham practices at 205 Marengo St, Florence, AL 35630. The listed phone number is (256) 381-0400.

What is Todd Durham's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Todd Durham enrolled in Medicare?

Yes. Todd 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 Todd Durham accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Todd 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 Todd Durham affiliated with any hospitals?

According to CMS data, Todd Durham is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Todd Durham was last updated on May 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.