2026 NPPES data Physician Assistant NPI 1003006115 PA-C
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BENJAMIN DURHAM, PA-C

Physician Assistant in THOMASTON, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
584
Medicare Part D claims · 306 beneficiaries · Physician Assistant avg: 790
MIPS score
60.3938/100
▼ 23 pts below national avg 83.1 · [object Object]
What the federal data reveals: BENJAMIN DURHAM, PA-C is a Physician Assistant ([object Object]) practicing in THOMASTON, Georgia with a Medicare Part D prescribing footprint of 584 claims across 306 beneficiaries . Their CMS MIPS Final Score of 60.3938/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: BENJAMIN DURHAM, PA-C reported a CMS MIPS final score of 60.3938 out of 100, below the 83.1 national average, and filed 584 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

BENJAMIN DURHAM, PA-C at a glance

Below national average

NPI registry status

Active

Issued 07/26/2007

NPI 1003006115

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

584 26% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

60.3938/100 22.706199999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Georgia

How Physician Assistant compares to other specialties among Georgia providers

Georgia providers

Physician Assistant share within Georgia

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Georgia

Medicare quality performance — MIPS

BENJAMIN DURHAM, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

Below national average
MIPS Final Score
60.3938/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 60.3938/100 vs national avg 83.1

0%100%National avg83%60.4%
MIPS final score (Physician Assistant) — 60.3938/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

BENJAMIN DURHAM, PA-C is a Physician Assistant provider practicing in THOMASTON, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1003006115. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

BENJAMIN DURHAM, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 522 N CENTER ST, THOMASTON, GA, 30286, with a listed phone of (706) 646-4371. NPI 1003006115 was issued on 07/26/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DURHAM most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 584 prescription claims written by this provider, covering 306 Medicare beneficiaries and totaling roughly $8K in drug spend, with an opioid prescribing rate of 5.7%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 60.3938/100 for the 2023 performance year (Quality 32.3523), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

522 N CENTER ST
THOMASTON, GA 30286

Provider Details

NPI 1003006115
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 07/26/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

60.3938
Final Score
Avg: 83.1
32.3523
Quality
92
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where BENJAMIN DURHAM, PA-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HUGHSTON CLINIC PC
COLUMBUS, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

584
Total Claims
$8K
Total Drug Cost
306
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
610
Total Day Supply
10,862
Generic Drug Cost
$7K
Opioid Claims
33 (5.7% rate)
Antibiotic Claims
24

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
0.99
Gender Split
65% female / 35% male
Age Distribution
<65: 14, 65-74: 135, 75-84: 126, 85+: 31

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Methylprednisolone
207
Gabapentin
158
Diclofenac Sodium
42
Tramadol Hcl
33
Meloxicam
23
Celecoxib
22
Prednisone
20
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
14
Calcitonin-Salmon
"Calcitonin
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physician Assistant Overview

How BENJAMIN DURHAM, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

BENJAMIN DURHAM, PA-C's 584 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as DURHAM.

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is BENJAMIN DURHAM, PA-C's specialty?
BENJAMIN DURHAM, PA-C specializes in Physician Assistant and practices in THOMASTON, Georgia. Credentials: PA-C.
How much does BENJAMIN DURHAM, PA-C prescribe under Medicare Part D?
In 2023, BENJAMIN DURHAM, PA-C wrote 584 Medicare Part D claims totaling $8K in drug costs for 306 beneficiaries.
What is BENJAMIN DURHAM, PA-C's Medicare quality score?
BENJAMIN DURHAM, PA-C has a CMS MIPS Final Score of 60.3938/100 (Quality: 32.3523). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BENJAMIN DURHAM, PA-C located?
BENJAMIN DURHAM, PA-C is located at 522 N CENTER ST, THOMASTON, GA, 30286. Phone: (706) 646-4371.
What is BENJAMIN DURHAM, PA-C's NPI number?
BENJAMIN DURHAM, PA-C's National Provider Identifier (NPI) is 1003006115, issued on 07/26/2007.
Does BENJAMIN DURHAM, PA-C prescribe opioids?
Yes, BENJAMIN DURHAM, PA-C had 33 opioid claims in 2023 with an opioid prescribing rate of 5.7%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does BENJAMIN DURHAM, PA-C prescribe most often?
Based on 2023 Medicare Part D data, BENJAMIN DURHAM, PA-C's most frequently prescribed drugs include Methylprednisolone, Gabapentin, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BENJAMIN DURHAM, PA-C accept Medicare?
BENJAMIN DURHAM, PA-C appears in CMS Medicare data with 584 Part D claims and 306 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BENJAMIN DURHAM, PA-C's credentials?
BENJAMIN DURHAM, PA-C's NPI is 1003006115 with credentials PA-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology