CARLOS DURHAM M.D.
NPI 1689674418
Anesthesiology - Pain Medicine in The Woodlands, TX
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
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Carlos Durham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
The Woodlands, TX 77381
- Reassigned Medicare billing, Texas enrollment
- 5 clinicians in this Medicare group
Spring, TX 77379
- Reassigned Medicare billing, Texas enrollment
- 220 clinicians in this Medicare group
Houston, TX 77069
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Bayou Anesthesia And Pain PA
- 151 clinicians in this Medicare group
Houston, TX 77069
- Reassigned Medicare billing, Texas enrollment
- 260 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, TXChi St Lukes Lakeside Hospital
Acute Care Hospitals · The Woodlands, TXMedicare 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.
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.
CONROE, TX 77384
CONROE, TX 77384
THE WOODLANDS, TX 77384
THE WOODLANDS, TX 77384
CONROE, TX 77384
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.
Which organizations bill Medicare for Carlos Durham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Durham reassigns Medicare benefits to 4 organizations: The Greater Houston Neurosurgery Center, P.A. (The Woodlands, TX), Best Choice Anesthesia & Pain PLLC (Spring, TX), Bayou Anesthesia And Pain P.A. (Houston, TX) and Northwest Anesthesiology & Pain Services, P.A. (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Durham accept?
Health plans from Blue Cross and Blue Shield of Texas 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.
# Carlos Durham, M.D. · NPI 1689674418
Pain Medicine physician in The Woodlands, Texas. Individual provider, active in the CMS NPPES registry since July 22, 2005.
## Identity
- **NPI:** 1689674418 (Entity type: Individual)
- **Enumerated:** July 22, 2005
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **State license:** G5007 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3115 COLLEGE PARK DR, UNIT 103C, The Woodlands, TX 77384-4000
- **Phone:** (936) 273-1133 · **Fax:** (936) 273-1335
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Greater Houston Neurosurgery Center, P.A. (NPI 1134313224, The Woodlands, TX); Best Choice Anesthesia & Pain PLLC (NPI 1699015628, Spring, TX); Bayou Anesthesia And Pain P.A. (NPI 1114977139, Houston, TX); Northwest Anesthesiology & Pain Services, P.A. (NPI 1629027511, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 1983
## Record status
- **NPPES last updated:** July 17, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 88G217 (TX); Medicare UPIN B87636 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1689674418) · Data from the CMS NPPES public registry.