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DR. SAMUEL JEROME DURHAM M.D.
NPI 1467459040
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Hays, KS

Active since June 28, 2005PECOS Enrolled
94.61/100
CMS Quality Rating
2220 CANTERBURY DR, HAYS, KS 67601(785) 623-6544(785) 623-2192 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2018, Apr 17, 2018 (2 updates tracked since 2018).

About Dr. Samuel Jerome Durham M.d. NPPES

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

DR. SAMUEL JEROME DURHAM M.D. (NPI 1467459040) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Hays, Kansas, licensed in Kansas (0440775) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467459040
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. SAMUEL JEROME DURHAMCredential: M.D.
Location Address2220 CANTERBURY DRHays, KS 67601-2370
Mailing Address2220 Canterbury DrHays, KS 67601-2370 · (785) 623-6544 · Fax (785) 623-2192
Phone(785) 623-6544
Fax(785) 623-2192
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateApril 30, 20182 updates tracked since enumeration
✔ NPI 1467459040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in KS · 0440775
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 65938 (OH), 4301074648 (MI)
2220 CANTERBURY DR, Hays, KS 67601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Jerome Durham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Alexius Medical Center
552 mi
Nurse Anesthetist, Certified Registered
900 E BROADWAY AVE
Bismarck, ND 58501
  • Reassigned Medicare billing, North Dakota enrollment
  • 616 clinicians in this Medicare group
NPI 1629121074 (701) 530-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67601 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
$161.67 typical visit price
range $53.00 – $161.67
Typical copayment $40.41 (range $13.25 – $40.41)
Most-billed visit code 99205
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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. JANE DAUGHERTY-LUCK DO
Emergency Medicine
2220 CANTERBURY DR
HAYS, KS 67601
Ellis County (785) 623-5555
LABONE LLC
Clinical Medical Laboratory
2220 CANTERBURY DR
HAYS, KS 67601
Ellis County (785) 650-2700
ROBERT A PHILLIPS JR. M.D, MBA, FACS
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2220 CANTERBURY DR
HAYS, KS 67601
Ellis County (785) 625-4699
ANISSA L. SONNTAG APRN
Nurse Practitioner (Family)
2220 CANTERBURY DR
HAYS, KS 67601
Ellis County (785) 623-5591
DAVID H SAVAGE MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2220 CANTERBURY DR
HAYS, KS 67601
Ellis County (785) 625-4699
EDGARDO OLVERA LOPEZ MD
Hospitalist
2220 CANTERBURY DR
HAYS, KS 67601
Ellis County (785) 623-5591
HAYS MEDICAL CENTER, INC
Pathology (Anatomic Pathology & Clinical Pathology)
2220 CANTERBURY DR
HAYS, KS 67601
Ellis County (785) 650-2700
RADIOLOGY ASSOCIATES OF HAYS, P.A.
Radiology (Diagnostic Radiology)
2220 CANTERBURY DR
HAYS, KS 67601
Ellis County (785) 625-6521

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 Samuel Durham's NPI number?

The NPI number for Samuel Durham is 1467459040. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Samuel Durham located?

Samuel Durham practices at 2220 Canterbury Dr, Hays, KS 67601. The listed phone number is (785) 623-6544.

What is Samuel Durham's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Samuel Durham enrolled in Medicare?

Yes. Samuel Durham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Durham reassigns Medicare benefits to St. Alexius Medical Center (Bismarck, ND). 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 Samuel Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Durham accept?

Health plans from CareSource list Samuel 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 Samuel Durham was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.