Susan Durham, OD
NPI 1023043163 · Pediatric Optometrist · Raleigh, NC
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Durham, OD is a Pediatric Optometrist provider in Raleigh, NC (NPI 1023043163).
Provider details
- NPI number
- 1023043163
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 1335 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
609 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Photography of the Retina92250 | 212 | $34 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 153 | $85 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 116 | $120 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 39 | $156 |
| Exam to Measure Eye Deviation and Range of Motion92060 | 33 | $59 |
| Imaging of Retina92134 | 18 | $37 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$392 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2011-09-29
Frequently asked questions
- What is Susan Durham's NPI number?
- Susan Durham's National Provider Identifier (NPI) is 1023043163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Durham's specialty?
- Susan Durham is listed in the NPPES registry with a primary specialty of Pediatric Optometrist (Eye and Vision Services Providers).
- Where is Susan Durham located?
- Susan Durham's practice location on file with NPPES is 10207 Cerny St, Raleigh, NC 27617-7878.
- What is Susan Durham's phone number?
- The practice phone number listed in the NPPES registry for Susan Durham is (919) 361-2299.
- Does Susan Durham accept Medicare?
- Susan Durham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Durham's NPI active?
- Yes — Susan Durham's NPI (1023043163) is active in the NPPES registry as of the last update on 2011-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.