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ALICIA DUMONT DURHAM PA-C
NPI 1629301312
Physician Assistant in Athens, TN

Active since September 11, 2009PECOS EnrolledAccepts Medicare Assignment
135 N MEADOWS DR, ATHENS, TN 37303(423) 745-9715 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alicia Dumont Durham Pa-c NPPES

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

ALICIA DUMONT DURHAM PA-C (NPI 1629301312) is an individual physician assistant in Athens, Tennessee, licensed in Tennessee (1743) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Starr Regional Medical Center Athens, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629301312
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALICIA DUMONT DURHAMCredential: PA-C
Location Address135 N MEADOWS DRAthens, TN 37303-4172
Mailing Address135 N Meadows DrAthens, TN 37303-4172 · (423) 745-9715
Phone(423) 745-9715
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 11, 2009
✔ NPI 1629301312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 1743
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
135 N MEADOWS DR, Athens, TN 37303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Alicia Dumont Durham Pa-c 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 ID3678616513
PECOS Enrollment IDI20100201000570
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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
245 services144 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
167 services110 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
146 services55 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
75 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
66 services66 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services49 patients

Hospital Affiliations CMS Care Compare

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

Starr Regional Medical Center Athens

Acute Care Hospitals · Athens, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440068
Location1114 W Madison AveAthens, TN 37371 · Mc Minn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37303 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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
13 suppliers42 claims79 services$5.91 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$62.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$20.05 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims12 services$8.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier32 claims32 services$112.45 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers22 claims3,675 services$0.03 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 3

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

CONSULTANTS IN PAIN MANAGEMENT, PC
Durable Medical Equipment & Medical Supplies
135 N MEADOWS DR
ATHENS, TN 37303
McMinn County (423) 648-8480
TIFFANY SLIGER FNP-BC
Nurse Practitioner (Family)
135 N MEADOWS DR
ATHENS, TN 37303
McMinn County (423) 745-9715
BRITTANY ROUNTREE FNP-BC
Nurse Practitioner (Family)
135 N MEADOWS DR
ATHENS, TN 37303
McMinn County (423) 507-8067

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 Alicia Durham's NPI number?

The NPI number for Alicia Durham is 1629301312. It was assigned to this individual provider in the NPPES registry on September 11, 2009.

Where is Alicia Durham located?

Alicia Durham practices at 135 N Meadows Dr, Athens, TN 37303. The listed phone number is (423) 745-9715.

What is Alicia Durham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alicia Durham enrolled in Medicare?

Yes. Alicia 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 Alicia Durham accept?

Health plans from BlueCross BlueShield of Tennessee list Alicia 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 Alicia Durham affiliated with any hospitals?

According to CMS data, Alicia Durham is affiliated with Starr Regional Medical Center Athens.

When was this NPI record last updated?

The NPPES record for Alicia Durham was last updated on September 11, 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.