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CARLOS DURHAM M.D.
NPI 1689674418
Anesthesiology - Pain Medicine in The Woodlands, TX

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
27.07/100
CMS Quality Rating
3115 COLLEGE PARK DR, UNIT 103C, THE WOODLANDS, TX 77384(936) 273-1133(936) 273-1335 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlos Durham M.d. NPPES

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

CARLOS DURHAM M.D. (NPI 1689674418) is an individual pain medicine provider in The Woodlands, Texas, licensed in Texas (G5007) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's The Woodlands Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1983).

NPPES Registry Identity

NPI1689674418
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameCARLOS DURHAMCredential: M.D.
Location Address3115 COLLEGE PARK DR, UNIT 103CThe Woodlands, TX 77384-4000
Mailing AddressPo Box 200649Houston, TX 77216-0649 · (281) 580-9030 · Fax (281) 580-2725
Phone(936) 273-1133
Fax(936) 273-1335
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1983
Enumeration DateJuly 22, 2005
Last NPPES UpdateJuly 17, 2007
✔ NPI 1689674418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in TX · G5007
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
3115 COLLEGE PARK DR, The Woodlands, TX 77384
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified88G217TX
Medicare UPINB87636TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, UnitedHealthcare.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

Carlos 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 ID3274434840
PECOS Enrollment IDI20120503000518
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 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.
115 services61 patients
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.
85 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services63 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.
70 services19 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
24 services19 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Chi St Lukes Lakeside Hospital

Acute Care Hospitals · The Woodlands, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670059
Location17400 St Lukes WayThe Woodlands, TX 77384 · Montgomery County
Emergency services

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.

27.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality21.94
Promoting Interoperability0
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.

MRS. SHELLEY NAUMAN RN
Registered Nurse (Pediatrics)
3115 COLLEGE PARK DR, SUITE 104
CONROE, TX 77384
Montgomery County (936) 321-5030
MURRAY BRUCE FERSHTMAN MD
Pediatrics
3115 COLLEGE PARK DR, STE #104
CONROE, TX 77384
Montgomery County (936) 321-5030
MRS. NORMA ANGELICA GALVEZ MEDICAL ASSISTANT
Specialist/Technologist, Other
3115 COLLEGE PARK DR, SUITE #104
CONROE, TX 77384
Montgomery County (936) 321-5030
SHAIL MAHESHWARI MD PLLC
Internal Medicine (Gastroenterology)
3115 COLLEGE PARK DR, SUITE 107
THE WOODLANDS, TX 77384
Montgomery County (936) 321-5440
EVAN TOW DO
Emergency Medicine
3115 COLLEGE PARK DR, SUITE 108
THE WOODLANDS, TX 77384
Montgomery County (936) 447-9351
RALPH P. PEARCE MD, PA
Internal Medicine (Gastroenterology)
3115 COLLEGE PARK DR, SUITE 107
THE WOODLANDS, TX 77384
Montgomery County (936) 321-5440
MRS. ANNE H CAMPBELL P.T
Physical Therapist
3115 COLLEGE PARK DR, STE 109
THE WOODLANDS, TX 77384
Montgomery County (936) 273-1095
KERI REGINA FERSHTMAN CPNP
Nurse Practitioner (Pediatrics)
3115 COLLEGE PARK DR, SUITE 104
CONROE, TX 77384
Montgomery County (936) 321-5030

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 Carlos Durham's NPI number?

The NPI number for Carlos Durham is 1689674418. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Carlos Durham located?

Carlos Durham practices at 3115 College Park Dr Unit 103C, The Woodlands, TX 77384. The listed phone number is (936) 273-1133.

What is Carlos Durham's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Carlos Durham enrolled in Medicare?

Yes. Carlos 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 Carlos Durham accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and UnitedHealthcare list Carlos 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 Carlos Durham affiliated with any hospitals?

According to CMS data, Carlos Durham is affiliated with St Luke's The Woodlands Hospital and Chi St Lukes Lakeside Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Durham was last updated on July 17, 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.