Justin Durham, PA
NPI 1396459624 · Physician Assistant · Redding, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Durham, PA is a Physician Assistant provider in Redding, CA (NPI 1396459624).
Provider details
- NPI number
- 1396459624
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
520 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 344 | $143 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 176 | $99 |
Typical Medicare-allowed amounts for these services range $99–$143 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 32 | 32 |
| Ondansetronbrand: Ondansetron Odt | 31 | 31 |
| Cefpodoxime Proxetil | 25 | 24 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 21 | 20 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 21 | 21 |
| Azithromycin | 17 | 17 |
| Prednisone |
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-11
- Last updated
- 2023-02-13
- Certified
- 2023-02-13
Frequently asked questions
- What is Justin Durham's NPI number?
- Justin Durham's National Provider Identifier (NPI) is 1396459624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Durham's specialty?
- Justin Durham is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Justin Durham located?
- Justin Durham's practice location on file with NPPES is 2175 Rosaline Ave, Redding, CA 96001-2549.
- What is Justin Durham's phone number?
- The practice phone number listed in the NPPES registry for Justin Durham is (530) 225-6000.
- Does Justin Durham accept Medicare?
- Justin Durham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Durham's NPI active?
- Yes — Justin Durham's NPI (1396459624) is active in the NPPES registry as of the last update on 2023-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.