Dr. Zachary Durham, DO
11116 Medical Campus Rd, Hagerstown, MD 21742 • +1-780-555-2492
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Hagerstown Percentiles
NPI #1558883124 • CBSA Regional • Emergency Medicine
Anchored in Hagerstown, MD 21742, Dr. Zachary Durham, DO (NPI 1558883124) logged 1,115 annual procedures (upper-quartile active clinical volume (87.5th Hagerstown percentile), 70.35th MD percentile, -0.10σ) with sub-specialty concentration in 44 Active CMS HCPCS Codes.
Procedural volume for Dr. Durham is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 502 annual services, $261–$357 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 290/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 145/yr).
Direct cash-pay transparency modeling sets Dr. Durham's baseline new-consult rate near $209.00 in Hagerstown, MD (cash-pay accepted, hybrid in-clinic and telehealth video consults, 10-minute average reception wait).
Clinical background for Dr. Durham (DO, NPI #1558883124) includes accredited doctoral training (2011, 15 yrs in practice) and virtual + in-office availability across MD.
Compared against Hagerstown, MD Emergency Medicine peers
1,115 annual services across 914 beneficiaries
Standard deviations from MD Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 502 | 87.5th | $261 – $357 |
| 99213 | Established Preventive & Chronic Care Visit | 290 | 90.5th | $199 – $273 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 145 | 88.5th | $95 – $130 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 112 | 82.5th | $306 – $419 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 67 | 88.5th | $363 – $497 |
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Dr. Zachary Durham, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Durham National Provider Identifier | NPI #1558883124 (DO) | CMS NPPES Registry (21742) |
| Dr. Durham Hagerstown CMS Volume Rank | 87.50th Pct (1,115 CMS svcs; Z -0.096σ) | CMS Medicare Part B (MD Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hagerstown, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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