TERRY D DURHAM CRNA
NPI 1699719534
Nurse Anesthetist, Certified Registered in Marion, KY
About Terry D Durham Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRY D DURHAM CRNA (NPI 1699719534) is an individual nurse anesthetist, certified registered in Marion, Kentucky, licensed in Kentucky (1069081) and active in the NPI registry since June 2006. He is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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
Terry D Durham Crna 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Terry Durham's NPI number?
The NPI number for Terry Durham is 1699719534. It was assigned to this individual provider in the NPPES registry on June 15, 2006.
Where is Terry Durham located?
Terry Durham practices at 520 W Gum St, Marion, KY 42064. The listed phone number is (270) 965-5281.
What is Terry Durham's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Terry Durham enrolled in Medicare?
Yes. Terry 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 Terry Durham accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Terry 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.
When was this NPI record last updated?
The NPPES record for Terry Durham was last updated on August 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.
