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PETER DURHAM PSY.D.
NPI 1962196188
Clinical Neuropsychologist in Round Rock, TX

Active since June 08, 2023PECOS EnrolledAccepts Medicare Assignment
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665(512) 509-0200 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2023, Jun 8, 2023 (2 updates tracked since 2023).

About Peter Durham Psy.d. NPPES

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

PETER DURHAM PSY.D. (NPI 1962196188) is an individual clinical neuropsychologist in Round Rock, Texas, licensed in Texas (39921) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1962196188
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NamePETER DURHAMCredential: PSY.D.
Location Address425 UNIVERSITY BLVDRound Rock, TX 78665-1047
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722
Phone(512) 509-0200
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2023
Last NPPES UpdateDecember 28, 20232 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
✔ NPI 1962196188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in TX · 39921
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License 39921 (TX)
425 UNIVERSITY BLVD, Round Rock, TX 78665
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Ford PlDetroit, MI 48202-3450 · Phone (313) 876-2526

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Peter Durham Psy.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 ID6406202225
PECOS Enrollment IDI20240925000559
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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scott & White Clinic
8.5 mi
Internal Medicine
1701 E PFLUGERVILLE PKWY
Pflugerville, TX 78660
  • Reassigned Medicare billing, Texas enrollment
  • 2,795 clinicians in this Medicare group
NPI 1679691729 (512) 259-6000

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 5

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
684 services107 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
475 services108 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
109 services109 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
109 services109 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
107 services107 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

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.

TRACY L HIEBER PT, ATC
Physical Therapist
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
JOHELIN F DE FREITAS HERNANDEZ M.D
Pediatrics
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
MRS. SHOBHA MATHEW DAVID PA-C
Physician Assistant (Medical)
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
JESSICA RAE FERNANDEZ DO
Student in an Organized Health Care Education/Training Program
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-3731
BAYLOR SCOTT AND WHITE
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (615) 347-3845
BETTY ELIZABETH PRECIADO MPAS, PA-C
Physician Assistant
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
DR. ANNA MARIE BERGQUIST MD
Student in an Organized Health Care Education/Training Program
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200
SANGEETHA PABOLU M.D.
Internal Medicine (Rheumatology)
425 UNIVERSITY BLVD
ROUND ROCK, TX 78665
Williamson County (512) 509-0200

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 Peter Durham's NPI number?

The NPI number for Peter Durham is 1962196188. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Peter Durham located?

Peter Durham practices at 425 University Blvd, Round Rock, TX 78665. The listed phone number is (512) 509-0200.

What is Peter Durham's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Peter Durham enrolled in Medicare?

Yes. Peter 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 organization bills Medicare for Peter Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Durham reassigns Medicare benefits to Scott & White Clinic (Pflugerville, TX). The 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 Peter Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Durham accept?

Health plans from Blue Cross and Blue Shield of Texas list Peter 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 Peter Durham affiliated with any hospitals?

According to CMS data, Peter Durham is affiliated with Baylor Scott & White Medical Center - Round Rock.

When was this NPI record last updated?

The NPPES record for Peter Durham was last updated on December 28, 2023. 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.