STEVEN R DURHAM MD
NPI 1851977334
Emergency Medicine in Baton Rouge, LA
About Steven R Durham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEVEN R DURHAM MD (NPI 1851977334) is an individual emergency medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (337953) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Wayne State University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 and accepts Medicare assignment
Steven R Durham Md 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
6Medicare enrollment records show Steven Durham reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 147 clinicians in this Medicare group
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 873 clinicians in this Medicare group
Baton Rouge, LA 70806
- Reassigned Medicare billing, Louisiana enrollment
- 112 clinicians in this Medicare group
Gonzales, LA 70737
- Reassigned Medicare billing, Louisiana enrollment
- 59 clinicians in this Medicare group
Zachary, LA 70791
- Reassigned Medicare billing, Louisiana enrollment
- 51 clinicians in this Medicare group
Kaplan, LA 70548
- Reassigned Medicare billing, Louisiana enrollment
- 64 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 4
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Our Lady Of The Lake Regional Medical Center
Acute Care Hospitals · Baton Rouge, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
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 Steven Durham's NPI number?
The NPI number for Steven Durham is 1851977334. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Steven Durham located?
Steven Durham practices at 8300 Constantin Blvd, Baton Rouge, LA 70809. The listed phone number is (225) 374-1410.
What is Steven Durham's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Steven Durham enrolled in Medicare?
Yes. Steven 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 Steven Durham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Steven Durham reassigns Medicare benefits to 6 organizations: Professional Emergency Physician Associates, LLC (Baton Rouge, LA), Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA), Red Stick Emergency Group LLC (Baton Rouge, LA), Ascension Emergency Physicians LLC (Gonzales, LA), East Baton Rouge Emergency Physicians Group, LLC (Zachary, LA) and 1 more organization, listed in the Medicare section above. 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 Steven Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Steven Durham accept?
Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Steven 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 Steven Durham affiliated with any hospitals?
According to CMS data, Steven Durham is affiliated with Our Lady Of The Lake Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Steven Durham was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Steven R Durham, MD · NPI 1851977334
Emergency Medicine physician in Baton Rouge, Louisiana. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1851977334 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 337953 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 8300 CONSTANTIN BLVD, Baton Rouge, LA 70809-3489
- **Phone:** (225) 374-1410 · **Fax:** (225) 374-1616
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Professional Emergency Physician Associates, LLC (NPI 1992758247, Baton Rouge, LA); Our Lady Of The Lake Physician Group LLC (NPI 1033494943, Baton Rouge, LA); Red Stick Emergency Group LLC (NPI 1275705998, Baton Rouge, LA); Ascension Emergency Physicians LLC (NPI 1699118505, Gonzales, LA); East Baton Rouge Emergency Physicians Group, LLC (NPI 1255894952, Zachary, LA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** September 18, 2024
- **Other identifiers:** Medicaid 2556983 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1851977334) · Data from the CMS NPPES public registry.