DR. JOHN H DURHAM MD
NPI 1558396309
Internal Medicine - Nephrology in Orangeburg, SC
About Dr. John H Durham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN H DURHAM MD (NPI 1558396309) is an individual nephrology provider in Orangeburg, South Carolina, licensed in South Carolina (24026) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Dr. John H 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 14
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Musc Medical Center
Acute Care Hospitals · Charleston, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29118 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
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.
ORANGEBURG, SC 29118
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 1558396309. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is John Durham located?
John Durham practices at 3031 Saint Matthews Rd, Orangeburg, SC 29118. The listed phone number is (803) 531-2677.
What is John Durham's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
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 BlueCross BlueShield of South Carolina and Molina Healthcare 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.
Is John Durham affiliated with any hospitals?
According to CMS data, John Durham is affiliated with Musc Medical Center.
When was this NPI record last updated?
The NPPES record for John Durham was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.