DR. MICHEAL J DURHAM D.O.
NPI 1326005190
Family Medicine in Lebanon, MO
About Dr. Micheal J Durham D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHEAL J DURHAM D.O. (NPI 1326005190) is an individual family medicine provider in Lebanon, Missouri, licensed in Missouri (2010019729) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Micheal J 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.
Medicare Billing Reassignment
Medicare enrollment records show Micheal Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Osage Beach, MO 65065
- Reassigned Medicare billing, Missouri enrollment
- 149 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Lebanon
Acute Care Hospitals · Lebanon, MOLake Regional Health System
Acute Care Hospitals · Osage Beach, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65536 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.
Referred Medical Equipment & Supplies CMS DME claims 13
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, MO 65536
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 Micheal Durham's NPI number?
The NPI number for Micheal Durham is 1326005190. It was assigned to this individual provider in the NPPES registry on April 27, 2006.
Where is Micheal Durham located?
Micheal Durham practices at 755 Cowan Dr, Lebanon, MO 65536. The listed phone number is (417) 532-2805.
What is Micheal Durham's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Micheal Durham enrolled in Medicare?
Yes. Micheal 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.
Which organization bills Medicare for Micheal Durham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micheal Durham reassigns Medicare benefits to Lake Regional Health System (Osage Beach, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Micheal Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Micheal Durham accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Micheal 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 Micheal Durham affiliated with any hospitals?
According to CMS data, Micheal Durham is affiliated with Mercy Hospital Lebanon and Lake Regional Health System.
When was this NPI record last updated?
The NPPES record for Micheal Durham was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Dr. Micheal J Durham, D.O. · NPI 1326005190
Family Medicine physician in Lebanon, Missouri. Individual provider, active in the CMS NPPES registry since April 27, 2006.
## Identity
- **NPI:** 1326005190 (Entity type: Individual)
- **Enumerated:** April 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2010019729 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 755 COWAN DR, Lebanon, MO 65536-4629
- **Phone:** (417) 532-2805 · **Fax:** (417) 532-2848
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lake Regional Health System (NPI 1053581454, Osage Beach, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 2004
## Record status
- **NPPES last updated:** July 10, 2025
- **Other identifiers:** Medicaid 1326005190 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1326005190) · Data from the CMS NPPES public registry.