APRIL SHANEL DURHAM M.D.
NPI 1629335955
Pediatrics in Springdale, AR

Q: What is April Durham's NPI number?

The NPI number for April Durham is 1629335955. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Q: What is April Durham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for April Durham was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment

3057 SPRINGDALE AVE, SPRINGDALE, AR 72762(479) 751-2522(479) 757-2988 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2020, Feb 12, 2016 (2 updates tracked since 2016).

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About April Shanel Durham M.d. NPPES

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

APRIL SHANEL DURHAM M.D. (NPI 1629335955) is an individual pediatrics provider in Springdale, Arkansas, licensed in Arkansas (E-9373) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2012).

NPPES Registry Identity

NPI1629335955

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAPRIL SHANEL DURHAMCredential: M.D.

Location Address3057 SPRINGDALE AVESpringdale, AR 72762-4346

Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534 · Fax (870) 347-3492

Phone(479) 751-2522

Fax(479) 757-2988

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2012

Enumeration DateApril 11, 2012

Last NPPES UpdateFebruary 18, 20202 updates tracked since enumeration

✔ NPI 1629335955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AR · E-9373

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3057 SPRINGDALE AVE, Springdale, AR 72762

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

April Shanel Durham M.d. 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 ID42456667

PECOS Enrollment IDI20160219002049

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72762 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

11%543 patients1/55-star benchmark: 95%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 37% · 1,496 patients

Patients physicalActivity: 36% · 1,496 patients

99%1,496 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

DR. MEREDITH ANNE DENTON MD

Pediatrics