NPI registry status
Active
2026 NPPES data Surgical Physician Assistant NPI 1497155576
Verify on CMS → Dustin Durham
Surgical Physician Assistant in New Kensington, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,179 in Surgical Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
21
Medicare Part D claims · 18 beneficiaries · Surgical Physician Assistant avg: 316
Industry payments
$19.76
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Dustin Durham filed 21 Medicare Part D claims in 2023 as a Surgical Physician Assistant in New Kensington, Pennsylvania.
- 21
- Part D claims, 2023
- $19.76
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Dustin Durham's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
21 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Dustin Durham?
Quality data not reportedPrimary specialty
Surgical Physician Assistant
Medicare Part D claims
21 93% vs specialty avg
Specialty distribution in Pennsylvania
How Surgical Physician Assistant compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Surgical Physician Assistant. Verify directly:
How MIPS and board certification work
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).
Dustin Durham appears in the CMS NPPES registry as a Surgical Physician Assistant provider at 120 DINWIDDIE DR, New Kensington, PA, 15068, with a listed phone of (412) 807-8137. NPI 1497155576 was issued on 08/26/2014.
Medicare Part D records for calendar year 2023 show 21 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $185 in drug spend.
Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,179 enrolled providers across 54 states and an average of 316 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
Provider Details
| NPI | 1497155576 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Gender | Male |
| NPI Issued | 08/26/2014 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Dustin Durham. Source: openpaymentsdata.cms.gov.
Total received
$20
Largest payer
Photocure Inc
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Dustin Durham. To verify Dustin Durham's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
21
Total Claims
$185
Total Drug Cost
18
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 21
- Total Day Supply
- 159
- Generic Drug Cost
- $131
Patient Demographics
- Average Patient Age
- 76.7 years
- Avg HCC Risk Score
- 1.63
Surgical Physician Assistant Overview
How Dustin Durham fits within the Surgical Physician Assistant landscape nationally.
16,179
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider
Dustin Durham's 21 claims are below the specialty average of 316.
Nearby Surgical Physician Assistant Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Durham.
Dr. Alyssa Abebe
PA-C
Pittsburgh, PA
Ashley Abraham
Philadelphia, PA
Daniel Abrantes
Philadelphia, PA
Dr. Michelle Adams
PA-C
Danville, PA
Dr. David Adler
PA-C
Chester, PA
Compare Surgical Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is Dustin Durham's specialty? ▼
Dustin Durham specializes in Surgical Physician Assistant and practices in New Kensington, Pennsylvania.
How much does Dustin Durham prescribe under Medicare Part D? ▼
In 2023, Dustin Durham wrote 21 Medicare Part D claims totaling $185 in drug costs for 18 beneficiaries.
Where is Dustin Durham located? ▼
Dustin Durham is located at 120 DINWIDDIE DR, New Kensington, PA, 15068. Phone: (412) 807-8137.
What is Dustin Durham's NPI number? ▼
Dustin Durham's National Provider Identifier (NPI) is 1497155576, issued on 08/26/2014.
How many Surgical Physician Assistant providers are there in the US? ▼
There are 16,179 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
Does Dustin Durham accept Medicare? ▼
Dustin Durham appears in CMS Medicare data with 21 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Dustin Durham's credentials? ▼
Dustin Durham's NPI is 1497155576. 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
View source datasets and methodology notes
- 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.