What is James Durham's specialty?

James Durham (NPI 1578784369) is a Medicare-billing provider whose primary specialty is Pathology in Portland, OR.

Where does James Durham practice?

James Durham practices in Portland, OR, based on the location reported in the CMS Medicare provider datasets for NPI 1578784369.

How much does Medicare pay James Durham?

James Durham (NPI 1578784369) received approximately $25K in total Medicare Part B payments, serving 312 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1578784369

James DurhamMD

PRACTICEPSYCHMATTERS LLCSee all providers at this practice →

PathologyPortland, ORI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

516

Unique beneficiaries

—

Total services

900

Distinct HCPCS

Medicare payment

$22K

Peer benchmark

Total Medicare services vs. 132 Pathology providers in OR — below median (cohort median 1,146).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

100.0

Cost

96.7

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Durham's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 7 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PROVIDENCE HEALTH & SERVICES OREGON	532	867
PROVIDENCE HEALTH & SERVICES OREGON	64	103
PROVIDENCE HEALTH & SERVICES OREGON	44	107
Stanley Cyran Dermatology · Portland, OR	34	90
Amy Frankel Dermatology · Portland, OR	24	56
PROVIDENCE HEALTH & SERVICES OREGON	23	48
Lisa Turner Dermatology · Portland, OR	14	34

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events