DR. RENATO M DURHAM M.D.
NPI 1174554745
Emergency Medicine in Monticello, IN
About Dr. Renato M Durham M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RENATO M DURHAM M.D. (NPI 1174554745) is an individual emergency medicine provider in Monticello, Indiana, licensed in Indiana (01067412A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and maintains a secondary practice location in Melbourne.
NPPES Registry Identity
Specialties & Licenses
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Practice Location 1
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. Renato M Durham M.d. 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 4
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Franciscan Health Michigan City
Acute Care Hospitals · Michigan City, INSt Mary Medical Center Inc
Acute Care Hospitals · Hobart, INFranciscan Health Crown Point
Acute Care Hospitals · Crown Point, INFranciscan Health Rensselaer, Inc
Critical Access Hospitals · Rensselaer, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47960 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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTICELLO, IN 47960
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 Renato Durham's NPI number?
The NPI number for Renato Durham is 1174554745. It was assigned to this individual provider in the NPPES registry on July 5, 2006.
Where is Renato Durham located?
Renato Durham practices at 720 S 6th St, Monticello, IN 47960. The listed phone number is (574) 583-1785.
What is Renato Durham's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Renato Durham enrolled in Medicare?
Yes. Renato 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 Renato Durham accept?
Health plans from CareSource list Renato 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 Renato Durham affiliated with any hospitals?
According to CMS data, Renato Durham is affiliated with Franciscan Health Michigan City, St Mary Medical Center Inc, Franciscan Health Crown Point and Franciscan Health Rensselaer, Inc.
When was this NPI record last updated?
The NPPES record for Renato Durham was last updated on June 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
