2026 NPPES data Hospitalist Physician NPI 1598348120 MD
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JAMES DURHAM, MD

Hospitalist Physician in SUFFOLK, Virginia. 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
615
Medicare Part D claims · 95 beneficiaries · Hospitalist Physician avg: 888
What the federal data reveals: JAMES DURHAM, MD is a Hospitalist Physician ([object Object]) practicing in SUFFOLK, Virginia with a Medicare Part D prescribing footprint of 615 claims across 95 beneficiaries .

What stands out: JAMES DURHAM, MD filed 615 Medicare Part D claims in 2023 across SUFFOLK, Virginia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES DURHAM, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES DURHAM, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/02/2021

NPI 1598348120

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

615 31% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in Virginia

How Hospitalist Physician compares to other specialties among Virginia providers

Virginia providers

Hospitalist Physician share within Virginia

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Hospitalist Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hospitalist Physician ABMS/AOA estimate

Est. board-certified rate (Hospitalist Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hospitalist Physician) — ABMS / AOA estimate

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).

JAMES DURHAM, MD is a Hospitalist Physician provider practicing in SUFFOLK, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1598348120. 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.

JAMES DURHAM, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 2790 GODWIN BLVD STE 360, SUFFOLK, VA, 23434, with a listed phone of (757) 261-8070. NPI 1598348120 was issued on 05/02/2021. 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 615 prescription claims written by this provider, covering 95 Medicare beneficiaries and totaling roughly $118K in drug spend. 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.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

2790 GODWIN BLVD STE 360
SUFFOLK, VA 23434

Provider Details

NPI 1598348120
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 05/02/2021

Hospital and facility affiliations

Facilities where JAMES DURHAM, MD 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.

CHATHAM HOSPITAL INC
★★★★☆ 4/5
SILER CITY, NC
Critical Access Hospitals
CMS CCN: 341311
SENTARA MEDICAL GROUP
SUFFOLK, VA
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
CHAPEL HILL, NC

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.

615
Total Claims
$118K
Total Drug Cost
95
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,233
Total Day Supply
35,300
Generic Drug Cost
$11K
Antibiotic Claims
22

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.72
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
31
Amlodipine Besylate
29
Atorvastatin Calcium
29
Losartan Potassium
23
Lisinopril
20
Ozempic
Semaglutide
20
Trulicity
Dulaglutide
18
Levothyroxine Sodium
16
Pregabalin
15
Gabapentin
14

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

Hospitalist Physician Overview

How JAMES DURHAM, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

JAMES DURHAM, MD's 615 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Virginia

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

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

Frequently Asked Questions

What is JAMES DURHAM, MD's specialty?
JAMES DURHAM, MD specializes in Hospitalist Physician and practices in SUFFOLK, Virginia. Credentials: MD.
How much does JAMES DURHAM, MD prescribe under Medicare Part D?
In 2023, JAMES DURHAM, MD wrote 615 Medicare Part D claims totaling $118K in drug costs for 95 beneficiaries.
Where is JAMES DURHAM, MD located?
JAMES DURHAM, MD is located at 2790 GODWIN BLVD STE 360, SUFFOLK, VA, 23434. Phone: (757) 261-8070.
What is JAMES DURHAM, MD's NPI number?
JAMES DURHAM, MD's National Provider Identifier (NPI) is 1598348120, issued on 05/02/2021.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does JAMES DURHAM, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES DURHAM, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES DURHAM, MD accept Medicare?
JAMES DURHAM, MD appears in CMS Medicare data with 615 Part D claims and 95 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES DURHAM, MD's credentials?
JAMES DURHAM, MD's NPI is 1598348120 with credentials MD. 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.
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