DR. TODD D. DURHAM M.D.
NPI 1861603797
Radiology - Vascular & Interventional Radiology in Grand Rapids, MI

Q: What is Todd Durham's NPI number?

The NPI number for Todd Durham is 1861603797. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Todd Durham's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Todd Durham was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment

84.16/100

CMS Quality Rating

3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 363-7339(616) 361-5828 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Todd D. Durham M.d. NPPES

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

DR. TODD D. DURHAM M.D. (NPI 1861603797) is an individual vascular & interventional radiology provider in Grand Rapids, Michigan, licensed in Michigan (4301080384) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Wayne State University School Of Medicine (2008).

NPPES Registry Identity

NPI1861603797

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameDR. TODD D. DURHAMCredential: M.D.

Location Address3264 N EVERGREEN DR NEGrand Rapids, MI 49525-9746

Mailing Address3264 N Evergreen Dr NeGrand Rapids, MI 49525-9746 · (616) 363-7339 · Fax (616) 361-5828

Phone(616) 363-7339

Fax(616) 361-5828

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2008

Enumeration DateMay 24, 2007

Last NPPES UpdateSeptember 1, 2009

✔ NPI 1861603797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in MI · 4301080384

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 4301080384 (MI)

3264 N EVERGREEN DR NE, Grand Rapids, MI 49525

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Todd D. 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 ID8820162902

PECOS Enrollment IDI20080807000376

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 24

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

150 services135 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

89 services88 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

79 services78 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

60 services57 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

35 services31 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

30 services30 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

24 services23 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

24 services23 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

22 services19 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

20 services20 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

18 services18 patients

Replacement of stomach-to-small bowel tube using fluoroscopic guidance with contrast 49452

This is a procedure where a tube connecting your stomach to your small bowel is replaced. Fluoroscopic guidance, a type of imaging technique, is used for accuracy. Contrast material helps enhance the visibility of internal structures.

17 services13 patients

Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328

A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.

16 services16 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

16 services16 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

15 services15 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

14 services14 patients

Review by radiologist of abscess or sinus cavity study 76080

This procedure involves a specialist, known as a radiologist, examining images of your abscess or sinus cavity. These images help identify any problems or changes in your condition. The radiologist's review is crucial in determining the best course of treatment.

13 services12 patients

Injection of contrast through abdominal cavity tube for x-ray study 49424

This procedure involves injecting a contrast substance through a tube in your abdominal cavity. This helps to highlight certain areas in your body for an X-ray study. It's a crucial step for accurate diagnosis and treatment planning.

12 services12 patients

Replacement of kidney drainage tube using imaging guidance with review by radiologist 50435

This procedure involves replacing an existing kidney drainage tube. Using imaging technology, a radiologist precisely guides the process to ensure accuracy. This helps drain excess fluid from kidneys, improving their function and your comfort.

12 services11 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

12 services12 patients

Limited or follow-up ct scan 76380

A limited or follow-up CT scan is a procedure where a specialized X-ray machine takes multiple images of your body from different angles. This scan focuses on a specific area and helps doctors track progress or changes after treatment or over time. It's non-invasive and usually quick.

12 services12 patients

Insertion of stomach tube using fluoroscopic guidance with contrast 49440

This is a procedure where a tube is inserted into your stomach to assist with digestion or removal of substances. It's done under fluoroscopic guidance, a type of imaging that allows real-time viewing. Contrast dye is used to enhance the visibility of structures.

11 services11 patients

Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast 49450

This procedure involves replacing a tube in your stomach or large bowel. It's guided by a special type of X-ray called fluoroscopy, which helps ensure accurate placement. Contrast material is used to enhance the visibility of your internal structures.

11 services11 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230035

Location615 S Bower StreetGreenville, MI 48838 · Montcalm County

Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230093

Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County

Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230110

LocationOne N Atkinson DriveLudington, MI 49431 · Mason County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

84.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.28

Improvement Activities

Cost

67.44

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.

DR. JON R HENKE MD

Radiology (Diagnostic Radiology)