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DR. JAMES B DURHAM MD
NPI 1578784369
Pathology - Clinical Pathology/Laboratory Medicine in Portland, OR

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4805 NE GLISAN ST, PORTLAND, OR 97213(503) 215-4323(503) 215-0297 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James B Durham Md NPPES

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

DR. JAMES B DURHAM MD (NPI 1578784369) is an individual clinical pathology/laboratory medicine provider in Portland, Oregon, licensed in Oregon (MD24057) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (1974).

NPPES Registry Identity

NPI1578784369
Entity TypeIndividualMale
Primary Taxonomy207ZP0105X
Provider Legal NameDR. JAMES B DURHAMCredential: MD
Location Address4805 NE GLISAN STPortland, OR 97213-2933
Mailing AddressPo Box 3395Portland, OR 97208-3395 · (503) 215-4323 · Fax (503) 215-0297
Phone(503) 215-4323
Fax(503) 215-0297
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1974
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1578784369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
License✔ Licensed in OR · MD24057
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
4805 NE GLISAN ST, Portland, OR 97213
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type Unspecified119259OR · Psh Medicare #
Medicare ID-Type Unspecified119263OR · Pmh Medicare #
Medicare ID-Type Unspecified119261OR · Pnh Medicare #
Medicare ID-Type Unspecified119265OR · Ppmc Medicare #
Medicare UPINE94266OR
Medicare ID-Type Unspecified119257OR · Pstv Medicare #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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. James B 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.

PECOS PAC ID1759368947
PECOS Enrollment IDI20040706000937
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 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
435 services247 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
147 services39 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
82 services67 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
62 services51 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
58 services39 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
37 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost100

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.

SALONA SHRESTHA MD
Internal Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-2392
PROVIDENCE HEALTH & SERVICES - OREGON
General Acute Care Hospital
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 451-3000
DR. ROBERT THOMAS MARTIN M.D.
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 297-6334
CECILIA BRADFORD CRNA
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatric Unit
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-4323
GITA D GELFER DO
Hospitalist
4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213
Multnomah County (503) 215-2392
MECCA CARTER
Doula
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
JESUS ERNESTO CONRIQUE GARCIA
Nurse's Aide
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111

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 James Durham's NPI number?

The NPI number for James Durham is 1578784369. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is James Durham located?

James Durham practices at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-4323.

What is James Durham's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is James Durham enrolled in Medicare?

Yes. James 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 James Durham accept?

Health plans from Moda Health Plan, Inc. list James 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 James Durham affiliated with any hospitals?

According to CMS data, James Durham is affiliated with Providence St Vincent Medical Center, Providence Newberg Medical Center, Providence Willamette Falls Medical Center, Providence Portland Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for James Durham was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.