Active NPI 1306125455 Individual Practitioner Female Practitioner

Margaret Elizabeth Denham , NP

Nurse Practitioner • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Margaret Denham, NP is a certified Nurse Practitioner practicing in Indianapolis, IN. With approximately 15 years of clinical experience since completing medical education in 2011, Margaret Denham delivers high-quality medical care to the local community at 1402 E COUNTY LINE RD.

Margaret Denham is affiliated with Metro Infectious Disease Consultants Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, vedolizumab, intravenous, 1 mg, injection, tildrakizumab, 1 mg, injection, denosumab, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1402 E County Line Rd

Indianapolis, IN 462270963

Telephone 2252847336

Associated Practice Facility / Clinic

🏢 University Heights Anesthesiologists, Llc Facility NPI 1497745095

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Indianapolis, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +4.8 yrs vs City Avg

City Avg: 10.2 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

477 Specialists

Practicing in Indianapolis, IN (2620 Statewide)

Telehealth Adoption Rate

10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Denham (15 Years) 15 Yrs

Indianapolis Specialty Average (10.2 Years) 10.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	45,000	24	$51.94	$21.93
J3245 Injection, tildrakizumab, 1 mg	7,000	21	$308.59	$135.06
J0897 Injection, denosumab, 1 mg	4,380	46	$52.79	$25.72
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	309	90	$180.00	$55.03
96413 Infusion of chemotherapy into a vein up to 1 hour	219	41	$403.00	$99.08
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	139	21	$225.00	$48.10
J3489 Injection, zoledronic acid, 1 mg	60	12	$126.00	$6.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	42,300	25	$49.02	$21.80
J3245 Injection, tildrakizumab, 1 mg	7,400	23	$295.50	$138.20
J3111 Injection, romosozumab-aqqg, 1 mg	6,510	11	$19.34	$9.95
J0897 Injection, denosumab, 1 mg	4,380	46	$48.04	$23.38
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	278	87	$180.00	$56.14
96413 Infusion of chemotherapy into a vein up to 1 hour	183	35	$403.00	$100.61
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	64	18	$225.00	$49.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	15	$35.00	$11.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	35,700	21	$46.21	$21.81
J3111 Injection, romosozumab-aqqg, 1 mg	19,131	17	$17.85	$9.44
J3245 Injection, tildrakizumab, 1 mg	5,800	19	$279.93	$136.12
J0897 Injection, denosumab, 1 mg	2,100	26	$43.76	$21.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	235	66	$35.00	$11.38
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	107	32	$225.00	$52.64
96413 Infusion of chemotherapy into a vein up to 1 hour	86	28	$403.00	$104.80
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	70	39	$180.00	$58.60
96415 Administration of chemotherapy into vein, each additional hour	59	11	$95.00	$22.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	30,600	20	$43.30	$20.84
J3245 Injection, tildrakizumab, 1 mg	2,800	12	$265.25	$134.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	248	54	$34.96	$11.32
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	123	34	$225.00	$56.43
96413 Infusion of chemotherapy into a vein up to 1 hour	45	13	$403.00	$111.53
96415 Administration of chemotherapy into vein, each additional hour	45	13	$95.00	$24.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	28,800	19	$40.54	$20.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	134	29	$35.75	$11.46
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	116	28	$225.00	$55.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3380 Injection, vedolizumab, intravenous, 1 mg	15,000	11	$38.25	$19.60
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	78	21	$225.00	$55.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	56	13	$35.27	$13.29
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$106.23	$59.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	16	16	$260.00	$94.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$80.00	$34.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	161	35	$61.24	$24.37
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	123	35	$25.86	$8.40
97140 Therapy procedure using manual technique, each 15 minutes	63	14	$57.46	$19.36

Medical Specialties & State Licenses

CMS Verified: 2021-03-31

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71003760A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IN 28168437A

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201041700 (IN)

Hospital & Practice Group Affiliations

Metro Infectious Disease Consultants Llc

451 S Landmark Ave, Bloomington, IN 474035004

Phone: 8774483627

Secondary Practice Locations

1542 S Bloomington St

Greencastle, IN 461352212

Phone: 7653017449

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Joel Parker , MD

Internal Medicine

NPI 1326211012

Doctor of Medicine (M.D.)

Tonya Eubanks , APRN

Nurse Practitioner - Family

NPI 1689133571

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 18, 2014

Registered at 1402 E COUNTY LINE RD, INDIANAPOLIS, IN 462270963 (Tel: 2252847336)

📍

Updated Business Mailing Address August 18, 2014

Registered at 783 IVY LN, CARMEL, IN 460324668 (Tel: 3176453555)

👤

Provider Name / Credentials Updated August 18, 2014

Recorded as MARGARET DENHAM, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2014

Registered Nurse (License #28168437A in IN)

🟢

Initial NPI Registration & Enumeration August 08, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306125455

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 08, 2011

Last Update: March 31, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

783 Ivy Ln

Carmel, IN 460324668

Phone: 3176453555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.