GREGORY DURHAM NP-C
NPI 1750764718
Nurse Practitioner - Psychiatric/Mental Health in Toledo, OH
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gregory Durham Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Gregory Durham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toledo, OH 43607
- Reassigned Medicare billing, Ohio enrollment
- 75 clinicians in this Medicare group
Toledo, OH 43604
- Reassigned Medicare billing, Ohio enrollment
- 690 clinicians in this Medicare group
Marion, OH 43302
- Reassigned Medicare billing, Ohio enrollment
- 221 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
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 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.
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.
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.
Which organizations bill Medicare for Gregory Durham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Durham reassigns Medicare benefits to 3 organizations: Zepf Center (Toledo, OH), Mercy Health Physicians North Specialty Care LLC (Toledo, OH) and Incare Health Solutions LLC (Marion, OH). 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 Gregory Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gregory Durham accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 4 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 21 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.
# Gregory Durham, NP-C · NPI 1750764718
Psychiatric/Mental Health physician in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since July 8, 2015.
## Identity
- **NPI:** 1750764718 (Entity type: Individual)
- **Enumerated:** July 8, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN.CNP.17593 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 905 NEBRASKA AVE, Toledo, OH 43607-4222
- **Phone:** (419) 841-7701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Zepf Center (NPI 1962992628, Toledo, OH); Mercy Health Physicians North Specialty Care LLC (NPI 1306468418, Toledo, OH); Incare Health Solutions LLC (NPI 1235422403, Marion, OH) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750764718) · Data from the CMS NPPES public registry.