GREGORY DURHAM NP-C
NPI 1750764718
Nurse Practitioner - Psychiatric/Mental Health in Toledo, OH

Active since July 08, 2015PECOS Enrolled
77.23/100
CMS Quality Rating
905 NEBRASKA AVE, TOLEDO, OH 43607(419) 841-7701 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Jul 6, 2022, Apr 8, 2020 (3 updates tracked since 2020).

About Gregory Durham Np-c NPPES

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

GREGORY DURHAM NP-C (NPI 1750764718) is an individual psychiatric/mental health provider in Toledo, Ohio, licensed in Ohio (APRN.CNP.17593) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bryan.

NPPES Registry Identity

NPI1750764718
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameGREGORY DURHAMCredential: NP-C
Location Address905 NEBRASKA AVEToledo, OH 43607-4222
Mailing Address2005 Ashland AveToledo, OH 43620-1703 · (419) 841-7701
Sole ProprietorYes
Enumeration DateJuly 8, 2015
Last NPPES UpdateJanuary 22, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
NPI 1750764718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.17593
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.17593 (OH)
905 NEBRASKA AVE, Toledo, OH 43607

Secondary Practice Location 1

Location 1433 W High StBryan, OH 43506-1690 · Phone (419) 636-1131 · Fax (419) 636-3100

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 (PECOS)

Gregory Durham Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43607 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

77.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.84
Promoting Interoperability100
Improvement Activities40
Cost47.26

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.

Psychiatry & Neurology (Psychiatry)
905 NEBRASKA AVE
TOLEDO, OH 43607
Case Manager/Care Coordinator
905 NEBRASKA AVE
TOLEDO, OH 43607
Case Manager/Care Coordinator
905 NEBRASKA AVE
TOLEDO, OH 43607
Case Manager/Care Coordinator
905 NEBRASKA AVE
TOLEDO, OH 43607
Case Manager/Care Coordinator
905 NEBRASKA AVE
TOLEDO, OH 43607
Case Manager/Care Coordinator
905 NEBRASKA AVE
TOLEDO, OH 43607
Clinic/Center (Federally Qualified Health Center (FQHC))
905 NEBRASKA AVE
TOLEDO, OH 43607
Peer Specialist
905 NEBRASKA AVE
TOLEDO, OH 43607

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 Gregory Durham's NPI number?

The NPI number for Gregory Durham is 1750764718. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Where is Gregory Durham located?

Gregory Durham practices at 905 Nebraska Ave, Toledo, OH 43607. The listed phone number is (419) 841-7701.

What is Gregory Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gregory Durham enrolled in Medicare?

Yes. Gregory Durham is registered in the Medicare PECOS enrollment system.

What insurance does Gregory Durham accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 2 other insurers list Gregory 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 Gregory Durham was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.