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DR. NEDIM DURAKOVIC MD
NPI 1235492372
Otolaryngology - Otology & Neurotology in Creve Coeur, MO

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20, CREVE COEUR, MO 63141(314) 362-7509(314) 362-7522 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 21, 2025, Apr 25, 2024, Apr 10, 2024 and 4 more (7 updates tracked since 2019).

About Dr. Nedim Durakovic Md NPPES

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

DR. NEDIM DURAKOVIC MD (NPI 1235492372) is an individual otology & neurotology provider in Creve Coeur, Missouri, licensed in Missouri (2017008331) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1235492372
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameDR. NEDIM DURAKOVICCredential: MD
Location Address1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20Creve Coeur, MO 63141-6431
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-7509 · Fax (314) 362-7522
Phone(314) 362-7509
Fax(314) 362-7522
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 22, 2012
Last NPPES UpdateAugust 22, 20257 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
✔ NPI 1235492372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License✔ Licensed in MO · 2017008331
Definition

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 2017008331 (MO)
1044 N MASON RD, Creve Coeur, MO 63141
Open in Google Maps ↗

Secondary Practice Location 1

Location 1915 N Grand BlvdSaint Louis, MO 63106-1621 · Phone (314) 652-4100

Other Identifiers 1

Medicaid200062118MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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. Nedim Durakovic Md 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 ID244469484
PECOS Enrollment IDI20190607001592
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 8

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.

Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
315 services277 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.
264 services204 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
87 services71 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.
85 services79 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.
77 services77 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.
39 services39 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

DR. WILLIAM C CHAPMAN JR. MD
Colon & Rectal Surgery
1044 N MASON RD, DIV SURG COLON/RECTAL, STE 310
SAINT LOUIS, MO 63141
St. Louis County (314) 454-7177
MS. ELIZABETH BURTON WALDEN- PRATER AGNP
Nurse Practitioner
1044 N MASON RD, DIV IM GENERAL MED, STE 330
SAINT LOUIS, MO 63141
St. Louis County (314) 996-8103
MS. ALEXANDRA ELIZABETH GRAHAM PA
Physician Assistant
1044 N MASON RD, DIV IM ENDOCRINOLOGY, STE 330
SAINT LOUIS, MO 63141
St. Louis County (314) 362-3500
MS. ALICIA MARIE STORTS FNP
Nurse Practitioner (Family)
1044 N MASON RD, DEPT ORTHOPAEDIC SURGERY, STE 110/210
SAINT LOUIS, MO 63141
St. Louis County (314) 514-3500
DR. RICHARD IAN STEIN PHD
Psychologist (Clinical)
1044 N MASON RD, DIV IM GERIATRIC MED, STE 330
SAINT LOUIS, MO 63141
St. Louis County (314) 286-2080
DR. HEIDI HOPE TASTET MD
Internal Medicine
1044 N MASON RD, DIV IM GENERAL MED, STE 330
SAINT LOUIS, MO 63141
St. Louis County (314) 996-8103
MS. CARLY ROSE NOVELLY SLP
Speech-Language Pathologist
1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20
CREVE COEUR, MO 63141
St. Louis County (314) 362-7509
DR. JAY F PICCIRILLO MD
Otolaryngology
1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L20
CREVE COEUR, MO 63141
St. Louis County (314) 362-7509

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 Nedim Durakovic's NPI number?

The NPI number for Nedim Durakovic is 1235492372. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Nedim Durakovic located?

Nedim Durakovic practices at 1044 N Mason Rd Dept Otolaryngology, Ste L20, Creve Coeur, MO 63141. The listed phone number is (314) 362-7509.

What is Nedim Durakovic's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Nedim Durakovic enrolled in Medicare?

Yes. Nedim Durakovic 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 Nedim Durakovic accept?

Health plans from Cox HealthPlans list Nedim Durakovic 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 Nedim Durakovic affiliated with any hospitals?

According to CMS data, Nedim Durakovic is affiliated with Alton Memorial Hospital, Memorial Hospital, Barnes Jewish Hospital, Missouri Baptist Medical Center and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Nedim Durakovic was last updated on August 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.