JOHN W DURHAM MD
NPI 1891767141
Orthopaedic Surgery - Hand Surgery in Flagstaff, AZ

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
70.58/100
CMS Quality Rating
1485 N TURQUOISE DRIVE, STE 200, FLAGSTAFF, AZ 86001(928) 774-7757(928) 226-3071 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John W Durham Md NPPES

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

JOHN W DURHAM MD (NPI 1891767141) is an individual hand surgery provider in Flagstaff, Arizona, licensed in Arizona (21077) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (1986).

NPPES Registry Identity

NPI1891767141
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameJOHN W DURHAMCredential: MD
Location Address1485 N TURQUOISE DRIVE, STE 200Flagstaff, AZ 86001
Mailing Address1485 N Turquoise Drive, Ste 200Flagstaff, AZ 86001 · (928) 774-7757 · Fax (928) 226-3071
Fax(928) 226-3071
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1986
Enumeration DateFebruary 2, 2006
Last NPPES UpdateSeptember 2, 2016
NPI 1891767141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in AZ · 21077
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedSpecialistTaxonomy 174400000X · License 21077 (AZ)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 21077 (AZ)
1485 N TURQUOISE DRIVE, Flagstaff, AZ 86001

Other Identifiers 2

Medicare UPINE96748AZ
Medicaid118572AZ

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

John W 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.

PECOS PAC ID5496658791
PECOS Enrollment IDI20180313001214
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services28 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
16 services13 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

70.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.68
Promoting Interoperability79
Improvement Activities40
Cost63.1

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$67.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 John Durham's NPI number?

The NPI number for John Durham is 1891767141. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is John Durham located?

John Durham practices at 1485 N Turquoise Drive Ste 200, Flagstaff, AZ 86001. The listed phone number is (928) 774-7757.

What is John Durham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is John Durham enrolled in Medicare?

Yes. John 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 John Durham accept?

Health plans from Blue Cross Blue Shield of Arizona list John 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 John Durham was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.