Rachel Durham, MD
NPI 1730318890 · Obstetrics & Gynecology Physician · Alton, IL
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rachel Durham, MD is a Obstetrics & Gynecology Physician provider in Alton, IL (NPI 1730318890).
Provider details
- NPI number
- 1730318890
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 125-055919 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
314 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) |
|---|---|---|
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 86 | $38 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 77 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $123 |
| Screening 3d Breast Mammography77063 | 42 | $22 |
| Screening Mammography77067 | 42 | $52 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 57 | 22 |
| Triamcinolone Acetonide | 37 | 20 |
| Medroxyprogesterone Acetate | 25 | — |
| Alendronate Sodium | 23 | — |
| Estrogens, Conjugatedbrand: Premarin | 22 | — |
| Valacyclovir Hclbrand: Valacyclovir | 21 | — |
| Estradiol/Norethindrone Acetbrand: Estradiol-Norethindrone Acetat | 16 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$77 across 4 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
Additional practice locations (1)
- 1 Memorial DrAlton, IL 62002-6722Phone: (618) 463-8500
Registry dates
- Enumerated
- 2009-07-10
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Frequently asked questions
- What is Rachel Durham's NPI number?
- Rachel Durham's National Provider Identifier (NPI) is 1730318890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rachel Durham's specialty?
- Rachel Durham is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Rachel Durham located?
- Rachel Durham's practice location on file with NPPES is 1 Professional Dr Ste 230, Alton, IL 62002-5068.
- What is Rachel Durham's phone number?
- The practice phone number listed in the NPPES registry for Rachel Durham is (618) 463-8500.
- Does Rachel Durham accept Medicare?
- Rachel Durham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rachel Durham's NPI active?
- Yes — Rachel Durham's NPI (1730318890) is active in the NPPES registry as of the last update on 2025-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.