Medicare Enrolled

Dr. Carlos Durham, M.D.

Pain Medicine · The Woodlands, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
3115 COLLEGE PARK DR, The Woodlands, TX 77384
9362731133
In practice since 2005 (20 years)
NPI: 1689674418 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 →
Are you Dr. Durham? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Durham

Dr. Carlos Durham is a pain medicine specialist in The Woodlands, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Durham performed 823 Medicare services across 494 unique beneficiaries.

Between the years covered by Open Payments, Dr. Durham received a total of $4,123 from 21 pharmaceutical and/or device companies across 113 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. 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.

✓ 20 years in practice ▲ 823 Medicare services $4,123 industry payments

Medicare Practice Summary

Medicare Utilization ↗
823
Medicare services
Bottom 40% in TX for pain medicine
494
Unique beneficiaries
$86
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~41 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.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min) 316 $67 $141
Steroid injection (triamcinolone) 142 $1 $11
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms 85 $240 $1,500
New patient office visit (45-59 min) 64 $119 $320
Office visit, established patient (10-19 min) 62 $42 $69
Office visit, established patient (30-39 min) 54 $85 $209
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 40 $215 $2,470
Betamethasone steroid injection 22 $4 $57
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 14 $97 $1,125
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 12 $160 $1,306
Injection of substance into lower spine canal using imaging guidance 12 $197 $2,850
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 2024 ↗
$4,123
Total received (2018-2024)
Avg $589/year across 7 years
Top 43% in TX for pain medicine
21
Companies
113
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
$4,123 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$440
2023
$978
2022
$861
2021
$685
2020
$81
2019
$134
2018
$944

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$1,938
Nutech Spine, Inc.
$666
Medtronic, Inc.
$384
Boston Scientific Corporation
$278
SPR Therapeutics, Inc
$198
Nevro Corp.
$160
Medtronic USA, Inc.
$125
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$96
BioDelivery Sciences International, Inc.
$47
Collegium Pharmaceutical, Inc.
$38
Azurity Pharmaceuticals, Inc.
$29
Purdue Pharma L.P.
$26
Zimmer Biomet Holdings, Inc.
$20
SI-BONE, Inc.
$19
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$18
PAINTEQ LLC
$16
Curonix LLC
$15
ARBOR PHARMACEUTICALS, INC.
$13
Nuvectra Corporation
$13
Pernix Therapeutics Holdings, Inc.
$13
Horizon Pharma plc
$11
Top 3 companies account for 72.5% of total payments
Associated products mentioned in payments ›
Algovita · BELBUCA · BUNAVAIL · BUNAVAIL 2.1 mg 30-count box · Belbuca · DUEXIS · ETERNA · Gel-One Cross-linked Hyaluronate · Horizant · INTELLIS · INTELLIS ADAPTIVESTIM · NT1100 NT2000iX Simplicity · OCTRODE · Octrode SCS Leads · Omnia · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · PRODIGY · Proclaim Family of SCS IPGs · Proclaim IPG · RELISTOR ORAL · SIFIX · SPRINT PNS System · SYMPROIC · Senza Spinal Cord Stimulation System · VANTA ADAPTIVESTIM · WaveWriter Alpha Prime 16 · XTAMPZA · ZOHYDRO ER · iFuse Implant
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 $501 per 100 Medicare services performed
Looking for a pain medicine specialist in The Woodlands?
Compare pain medicines in the The Woodlands area by procedure volume, costs, and industry payment transparency.
Browse pain medicines nearby

Geographic Context

Pain medicines within 10 mi
26
Per 100K population
4.0
County median income
$97,266
Nearest hospital
ST LUKE'S THE WOODLANDS HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/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 clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 years of NPI registration.

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 office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Durham performed 316 office visit, established patient (20-29 min) 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 $4,123 from 21 companies across 113 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 pain medicines in The Woodlands?
Dr. Durham's average Medicare payment per service is $86. 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 →