Melanie M. Durham, PA-C
Surgical Physician Assistant · Columbia, TN
Melanie M. Durham, PA-C is a surgical physician assistant with a practice address in Columbia, Tennessee, and NPI 1578544110, issued on Nov 10, 2005. Check the license (Tennessee 992, as entered in NPPES) with the Tennessee board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Melanie M. Durham
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 992 TN
Self-reported in NPPES; status is on the state search - Practice location
- 1222 Trotwood Ave, Columbia, TN 38401
- Phone
- (931) 380-3033
- Enumerated
- Nov 10, 2005
- Record last updated
- Jan 15, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (931) 388-3401
- Medicaid ID
- 3669739 TN
- Medicare enrollment
- Enrolled (PECOS I20040304000920); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 297 in Tennessee → Look up another NPI →
Also registered at 1222 Trotwood Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Claudia Andrews, MDPediatrics Physician1164532651
- John Brown, M.D.Surgery Physician1093754327
- Lindsey Chapman, NP-CFamily Nurse Practitioner1265809305
- Mark Cobb, M.D.Neurological Surgery Physician1336144245
- Jason CunninghamNurse Practitioner1285004085
- Pamela EdmundsonCommunity Health Worker1548751944
Verify Melanie M. Durham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Tennessee board licenses this profession
Search for license 992Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
27% fewer Medicare Part D claims than the average surgical physician assistant in 2024
221 Medicare Part D claims for 113 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D. 74 claims were for opioids.
Most prescribed
- Meloxicam59 claims
- Hydrocodone-Acetaminophen39 claims
- Oxycodone Hcl13 claims
- Oxycodone-Acetaminophen13 claims
- Methocarbamol11 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): 84.2 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $40.66
2 payments; by number, the most common kind was food and beverage; the largest payer was DePuy Synthes Sales Inc. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Amg-Crockett, LLCPulaski, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Melanie M. Durham among 297 surgical physician assistant records in Tennessee
Melanie M. Durham, PA-C is one of 297 surgical physician assistant records with a practice address in Tennessee. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 95% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2002 · median 2018 among the 215 with a school on file
- Record last updated2010 · 34% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in Tennessee
There are 297 surgical physician assistant records in Tennessee.
All 297 in Tennessee → Every provider in Columbia → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Elyse Adams, P.A.-CColumbia, TN 384011376965129
- Kenneth Bedock, PAColumbia, TN 384011780826461
- Mahgen Kruse, PA-CColumbia, TN 384011649586041
- Erica Hensley, PA-CLawrenceburg, TN 384641528254000
- Amy Methvin, PA-CLawrenceburg, TN 384641184687600
- Bayley Shields, PA-CJackson, TN 383051073311189
- Steven Bickel, PA-CCookeville, TN 385011265480867
- Julianne Buckner, PA-CCookeville, TN 385011912986829
Common questions
What is Melanie M. Durham, PA-C's NPI number?
Melanie M. Durham, PA-C's National Provider Identifier (NPI) is 1578544110, issued on Nov 10, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Melanie M. Durham, PA-C located?
The NPPES record lists a practice address at 1222 Trotwood Ave, Columbia, TN, 38401. Phone: (931) 380-3033. Providers update this record themselves, so call before visiting.
How can I verify Melanie M. Durham, PA-C's license?
NPPES lists Tennessee license number 992, as entered by the provider. Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.
How much does Melanie M. Durham, PA-C prescribe under Medicare Part D?
In 2024, Melanie M. Durham, PA-C had 221 Medicare Part D claims for 113 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.
What is Melanie M. Durham, PA-C's MIPS final score?
The 2023 MIPS final score is 84.2 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.