NPPES file of Aug 9, 2026

Madison D. Durham, PA

Physician Assistant · Lockport, NY

Madison D. Durham, PA is a physician assistant with a practice address in Lockport, New York, and NPI 1225707466, issued on Sep 10, 2021. Check the license (New York 031185, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1225707466
Name
Madison D. Durham
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License numbers
031185 NY
BG61193134 WA
PA61187385 WA
Self-reported in NPPES; status is on the state search
Practice location
38 Heritage CT, Lockport, NY 14094
Phone
(716) 986-9199
Enumerated
Sep 10, 2021
Record last updated
Jan 29, 2024
Fax
(716) 304-1044
Medicaid ID
2188015 WA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 38 Heritage CT

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rachna Bharti, MDFamily Medicine Physician1053505131
  2. Stacie Grant, N.P.Women's Health Nurse Practitioner1013054485

Verify Madison D. Durham in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 031185
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

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26% fewer Medicare Part D claims than the average physician assistant in 2024

611 Medicare Part D claims for 105 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.

  1. Madison Durham611
  2. Specialty average830

Most prescribed

  1. Amlodipine Besylate38 claims
  2. Lisinopril36 claims
  3. Atorvastatin Calcium33 claims
  4. Famotidine22 claims
  5. Gabapentin22 claims
  6. Ibuprofen22 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score92.5
  2. Costout of 100 · 30%100.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $112.58

5 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Pharmaceuticals, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Madison Durham$112.58
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Madison D. Durham among 15,555 physician assistant records in New York

Madison D. Durham, PA is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 66% of them.

  • NPI issued2021 · 66% of these records are older, 29% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileNo · 52% of these records are
  • Record last updated2024 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

20 physician assistant records list a practice address in Lockport

They are 20 of the 688 NPPES records with a practice address in Lockport, and 15,555 physician assistant records in New York.

The 8 physician assistant records with the nearest ZIP codes

  1. Toni Bielec, PALockport, NY 140941205180437
  2. Stephanie Bruzgul, P.A.Lockport, NY 140941255369948
  3. Courtney Dunn, PALockport, NY 140941912652538
  4. Maria Dziekan, PA-CLockport, NY 140941891311239
  5. Jessica Gill, PALockport, NY 140941972386498
  6. Alexandra KiblinLockport, NY 140941154711331
  7. Jordan Lasky, PALockport, NY 140941780932822
  8. Wayne Leblanc, PA-CLockport, NY 140941023585254

Common questions

What is Madison D. Durham, PA's NPI number?

Madison D. Durham, PA's National Provider Identifier (NPI) is 1225707466, issued on Sep 10, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Madison D. Durham, PA located?

The NPPES record lists a practice address at 38 Heritage CT, Lockport, NY, 14094. Phone: (716) 986-9199. Providers update this record themselves, so call before visiting.

How can I verify Madison D. Durham, PA's license?

NPPES lists New York license number 031185, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

How much does Madison D. Durham, PA prescribe under Medicare Part D?

In 2024, Madison D. Durham, PA had 611 Medicare Part D claims for 105 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Madison D. Durham, PA's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.