Medicare Enrolled

Dr. Heather Durham, NP

Nurse Practitioner - Family · Lubbock, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
5406 COLGATE ST, Lubbock, TX 79416
8065073500
In practice since 2015 (10 years)
NPI: 1710368881 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Durham from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Durham

Dr. Heather Durham is a nurse practitioner - family in Lubbock, TX, with 10 years in practice. Based on federal Medicare data, Dr. Durham performed 1,955 Medicare services across 683 unique beneficiaries.

Between the years covered by Open Payments, Dr. Durham received a total of $144 from 4 pharmaceutical and/or device companies across 7 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Durham is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 10 years in practice▲ Top 7% volume in TX$ $144 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,955
Medicare services
Top 7% in TX for nurse practitioner - family
683
Unique beneficiaries
$69
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~196 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Nursing facility visit, moderate complexity827$69$211
Hospital follow-up visit, moderate complexity296$51$155
Nursing facility visit, low complexity237$45$165
Home visit, established patient, moderate complexity196$80$249
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes140$85$264
Initial hospital admission, high complexity49$113$339
Hospital follow-up visit, high complexity42$77$233
Removal of skin and tissue, 20.0 sq cm or less41$81$142
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes38$119$364
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes35$118$356
Home visit, established patient, low complexity25$49$149
Initial hospital admission, moderate complexity17$83$336
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes12$44$281
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2023 ↗
$144
Total received (2021-2023)
Avg $48/year across 3 years
Bottom 33% in TX for nurse practitioner - family
4
Companies
7
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$144 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$44
2022
$82
2021
$18

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$59
PFIZER INC.
$46
Boston Scientific Corporation
$21
Hydrofera LLC
$18
Top 3 companies account for 87.4% of total payments
Associated products mentioned in payments ›
DALVANCE · HYDROFERA BLUE READY - BORDER · PREVNAR 20 · TEFLARO
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $7 per 100 Medicare services performed
Looking for a nurse practitioner - family in Lubbock?
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Geographic Context

Nurse Practitioner - Familys within 10 mi
395
Per 100K population
125.5
County median income
$63,367
Nearest hospital
LUBBOCK HEART HOSPITAL LP
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2023
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Durham is a mixed practice specialist, with above-average Medicare volume (top 7% in TX), and low-engagement industry engagement.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Durham experienced with nursing facility visit, moderate complexity?
Based on Medicare claims data, Dr. Durham performed 827 nursing facility visit, moderate complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Durham receive payments from pharmaceutical companies?
Yes. Dr. Durham received a total of $144 from 4 companies across 7 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Durham's costs compare to other nurse practitioner - familys in Lubbock?
Dr. Durham's average Medicare payment per service is $69. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Durham) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →