JOHN DEREK DURHAM MD
NPI 1376562942
Family Medicine in Paris, TX
About John Derek Durham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DEREK DURHAM MD (NPI 1376562942) is an individual family medicine provider in Paris, Texas, licensed in Texas (K3572) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
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
John Derek Durham 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75460 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 3
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1376562942. It was assigned to this individual provider in the NPPES registry on July 18, 2006.
Where is John Durham located?
John Durham practices at 1128 Clarksville St Ste. 100, Paris, TX 75460. The listed phone number is (903) 785-4362.
What is John Durham's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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 Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Texas 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.
When was this NPI record last updated?
The NPPES record for John Durham was last updated on November 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# John Derek Durham, MD · NPI 1376562942
Family Medicine physician in Paris, Texas. Individual provider, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1376562942 (Entity type: Individual)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** K3572 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1128 CLARKSVILLE ST, STE. 100, Paris, TX 75460-6060
- **Phone:** (903) 785-4362 · **Fax:** (903) 782-9365
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Texas Tech University Health Science Center School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** November 4, 2009
- **Other identifiers:** Other 144831802 (TX); Other 5967628 (TX); Other 8B5721 (TX); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1376562942) · Data from the CMS NPPES public registry.