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JOHN G. DURHAM DPM
NPI 1235103268
Podiatrist - Foot & Ankle Surgery in Altamonte Springs, FL

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
499 E CENTRAL PARKWY, STE 120, ALTAMONTE SPRINGS, FL 32701(407) 331-7844(407) 478-3595 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2018, Mar 21, 2017 (2 updates tracked since 2017).

About John G. Durham Dpm NPPES

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

JOHN G. DURHAM DPM (NPI 1235103268) is an individual foot & ankle surgery provider in Altamonte Springs, Florida, licensed in Florida (PO 2241) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of New York College Of Podiatric Medicine (1983).

NPPES Registry Identity

NPI1235103268
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameJOHN G. DURHAMCredential: DPM
Location Address499 E CENTRAL PARKWY, STE 120Altamonte Springs, FL 32701
Mailing Address3165 Mccrory Pl, Ste 174Orlando, FL 32803-3727 · (407) 423-1234 · Fax (407) 517-1040
Phone(407) 331-7844
Fax(407) 478-3595
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 1983
Enumeration DateFebruary 15, 2006
Last NPPES UpdateSeptember 4, 20182 updates tracked since enumeration
✔ NPI 1235103268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO 2241
499 E CENTRAL PARKWY, Altamonte Springs, FL 32701
Open in Google Maps ↗

Other Identifiers 2

Medicaid390041000FL
OtherP00112206FL · R/r Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

John G. Durham Dpm 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 ID5496896607
PECOS Enrollment IDI20100111000395
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.

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.
703 services312 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.
521 services271 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
144 services100 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
107 services107 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
64 services63 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
27 services16 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

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.

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
3%173 patients1/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
50%173 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%4,660 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
67%603 patients3/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%1,668 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 1,018 patients
Patients tobacco: 90% · 1,018 patients
4%74 patients1/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$32.77 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

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

ORLANDO FOOT AND ANKLE CLINIC, INC
Podiatrist (Foot & Ankle Surgery)
499 E CENTRAL PARKWY, STE 120
ALTAMONTE SPRGS, FL 32701
Seminole County (407) 331-7844

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 John Durham's NPI number?

The NPI number for John Durham is 1235103268. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is John Durham located?

John Durham practices at 499 E Central Parkwy Ste 120, Altamonte Springs, FL 32701. The listed phone number is (407) 331-7844.

What is John Durham's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is John Durham enrolled in Medicare?

Yes. John 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 John Durham accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Health First Commercial Plans, Inc. and 3 other insurers list John 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 John Durham affiliated with any hospitals?

According to CMS data, John Durham is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for John Durham was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.