2026 NPPES data Specialist NPI 1558396309 MD
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JOHN DURHAM, MD

Specialist in ORANGEBURG, South Carolina. 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
884
Medicare Part D claims · 205 beneficiaries · Specialist avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$286.18
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN DURHAM, MD is a Specialist ([object Object]) practicing in ORANGEBURG, South Carolina with a Medicare Part D prescribing footprint of 884 claims across 205 beneficiaries — 13% brand-name prescribing . Industry payments of $286.18 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN DURHAM, MD filed 884 Medicare Part D claims in 2023 across ORANGEBURG, South Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOHN DURHAM, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/11/2006

NPI 1558396309

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

884 40% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in South Carolina

How Specialist compares to other specialties among South Carolina providers

South Carolina providers

Specialist share within South Carolina

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within South Carolina

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Specialist) — 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).

JOHN DURHAM, MD is a Specialist provider practicing in ORANGEBURG, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1558396309. 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.

JOHN DURHAM, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 3031 SAINT MATTHEWS RD, ORANGEBURG, SC, 29118, with a listed phone of (803) 531-2677. NPI 1558396309 was issued on 07/11/2006. 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 884 prescription claims written by this provider, covering 205 Medicare beneficiaries and totaling roughly $139K in drug spend, split 13% brand-name and 87% generic by claim count. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

3031 SAINT MATTHEWS RD
ORANGEBURG, SC 29118

Provider Details

NPI 1558396309
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 07/11/2006

Hospital and facility affiliations

Facilities where JOHN 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.

PALMETTO NEPHROLOGY PA
ORANGEBURG, SC

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

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 JOHN DURHAM, MD. Source: openpaymentsdata.cms.gov.

Total received

$286

Largest payer

CALLIDITAS THERAPEUTICS US 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.

Brand vs generic prescribing mix · Typical

JOHN DURHAM, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 884 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

884
Total Claims
$139K
Total Drug Cost
205
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,425
Total Day Supply
40,431
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$116K
Generic Drug Cost
$23K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
5.41
Gender Split
55% female / 45% male
Age Distribution
<65: 70, 65-74: 66, 75-84: 55, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Calcium Acetate
50
Chlorthalidone
49
Amlodipine Besylate
43
Furosemide
40
Sevelamer Carbonate
39
Clonidine Hcl
36
Famotidine
27
Losartan Potassium
27
Fluconazole
21
Nifedipine Er
Nifedipine
21

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

Specialist Overview

How JOHN DURHAM, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

JOHN DURHAM, MD's 884 claims are below the specialty average of 1,474.

Nearby Specialist Providers in South Carolina

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN DURHAM, MD's specialty?
JOHN DURHAM, MD specializes in Specialist and practices in ORANGEBURG, South Carolina. Credentials: MD.
How much does JOHN DURHAM, MD prescribe under Medicare Part D?
In 2023, JOHN DURHAM, MD wrote 884 Medicare Part D claims totaling $139K in drug costs for 205 beneficiaries.
Where is JOHN DURHAM, MD located?
JOHN DURHAM, MD is located at 3031 SAINT MATTHEWS RD, ORANGEBURG, SC, 29118. Phone: (803) 531-2677.
What is JOHN DURHAM, MD's NPI number?
JOHN DURHAM, MD's National Provider Identifier (NPI) is 1558396309, issued on 07/11/2006.
Does JOHN DURHAM, MD prescribe more brand-name or generic drugs?
JOHN DURHAM, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $116K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does JOHN DURHAM, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN DURHAM, MD's most frequently prescribed drugs include Calcium Acetate, Chlorthalidone, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN DURHAM, MD accept Medicare?
JOHN DURHAM, MD appears in CMS Medicare data with 884 Part D claims and 205 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN DURHAM, MD's credentials?
JOHN DURHAM, MD's NPI is 1558396309 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