DUSTIN DURHAM M.D.
NPI 1740694397
Family Medicine in Mesa, AZ

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
1705 W MAIN ST, MESA, AZ 85201(480) 964-2273 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2023, Aug 24, 2020, May 25, 2017 (3 updates tracked since 2017).

About Dustin Durham M.d. NPPES

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

DUSTIN DURHAM M.D. (NPI 1740694397) is an individual family medicine provider in Mesa, Arizona, licensed in Arizona (69739) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740694397
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDUSTIN DURHAMCredential: M.D.
Location Address1705 W MAIN STMesa, AZ 85201-6920
Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (480) 964-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 11, 2014
Last NPPES UpdateSeptember 29, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
NPI 1740694397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 69739
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1705 W MAIN ST, Mesa, AZ 85201

Other Identifiers 1

Other69739AZ · Arizona Medical Board

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

Dustin 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 ID7810119294
PECOS Enrollment IDI20200814000648, I20230712004194
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 85201 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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
6 suppliers26 claims106 services$6.81 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$29.30 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims51 services$18.22 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers16 claims16 services$52.14 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims79 services$1.93 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
2 suppliers38 claims39 services$15.66 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 20

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

Community/Behavioral Health
1705 W MAIN ST
MESA, AZ 85201
Nurse Practitioner (Family)
1705 W MAIN ST
MESA, AZ 85201
Family Medicine
1705 W MAIN ST
MESA, AZ 85201
Internal Medicine
1705 W MAIN ST
MESA, AZ 85201
Nurse Practitioner (Family)
1705 W MAIN ST
MESA, AZ 85201
Internal Medicine (Geriatric Medicine)
1705 W MAIN ST
MESA, AZ 85201
Social Worker
1705 W MAIN ST
MESA, AZ 85201
Nurse Practitioner (Women's Health)
1705 W MAIN ST
MESA, AZ 85201

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 Dustin Durham's NPI number?

The NPI number for Dustin Durham is 1740694397. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Dustin Durham located?

Dustin Durham practices at 1705 W Main St, Mesa, AZ 85201. The listed phone number is (480) 964-2273.

What is Dustin Durham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dustin Durham enrolled in Medicare?

Yes. Dustin 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 Dustin Durham accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. and 2 other insurers list Dustin 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 Dustin Durham was last updated on September 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.