Carlos Durham, M.D.
NPI 1689674418 · Pain Medicine (Anesthesiology) Physician · The Woodlands, TX
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Durham, M.D. is a Pain Medicine (Anesthesiology) Physician provider in The Woodlands, TX (NPI 1689674418).
Provider details
- NPI number
- 1689674418
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G5007 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
321 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 115 | $123 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 85 | $87 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 70 | $173 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 24 | $117 |
| Injection of Trigger Points, 1-2 Muscles20552 | 15 | $50 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 85 | 26 |
| Tizanidine Hcl | 50 | 20 |
| Tramadol Hcl | 45 | 20 |
| Methylprednisolone | 37 | 33 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 33 | 11 |
| Fentanyl | 21 | — |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$440 across 7 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
- 2005-07-22
- Last updated
- 2007-07-17
Frequently asked questions
- What is Carlos Durham's NPI number?
- Carlos Durham's National Provider Identifier (NPI) is 1689674418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Durham's specialty?
- Carlos Durham is listed in the NPPES registry with a primary specialty of Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Durham located?
- Carlos Durham's practice location on file with NPPES is 3115 College Park Dr, The Woodlands, TX 77384-4000.
- What is Carlos Durham's phone number?
- The practice phone number listed in the NPPES registry for Carlos Durham is (936) 273-1133.
- Does Carlos Durham accept Medicare?
- Carlos Durham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Durham's NPI active?
- Yes — Carlos Durham's NPI (1689674418) is active in the NPPES registry as of the last update on 2007-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.