DR. MICHEAL J DURHAM D.O.
NPI 1326005190
Family Medicine in Lebanon, MO

Q: 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.

Q: What is Micheal Durham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: 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 13 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.

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment

82.13/100

CMS Quality Rating

755 COWAN DR, LEBANON, MO 65536(417) 532-2805(417) 532-2848 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, Feb 2, 2017 (2 updates tracked since 2017).

On this page

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

NPI1326005190

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHEAL J DURHAMCredential: D.O.

Location Address755 COWAN DRLebanon, MO 65536-4629

Mailing Address54 Hospital DrOsage Beach, MO 65065-3050 · (573) 348-8000

Phone(417) 532-2805

Fax(417) 532-2848

Sole ProprietorNo

Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2004

Enumeration DateApril 27, 2006

Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1326005190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MO · 2010019729✔ Licensed in OK · 4291

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

755 COWAN DR, Lebanon, MO 65536

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Other Identifiers 1

Medicaid1326005190MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

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.

PECOS PAC ID2860402302

PECOS Enrollment IDI20101222000134

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

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

43 services16 patients

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, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260059

Location100 Hospital DriveLebanon, MO 65536 · Laclede County

Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260186

Location54 Hospital DriveOsage Beach, MO 65065 · Camden County

Emergency services Birthing friendly

Physician 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.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

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.

82.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.14

Promoting Interoperability

100

Improvement Activities

Cost

61.46

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers72 claims133 services$5.66 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers33 claims34 services$1.01 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers13 claims13 services$114.90 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers12 claims30 services$44.67 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers12 claims12 services$22.94 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers16 claims92 services$3.01 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 6

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

HADEN KIRK

Nurse Practitioner (Family)