NPI registry status
Active
2026 NPPES data Pain Medicine Physician NPI 1487794301 M.D.
Verify on CMS → Sandra Durham, M.D.
Pain Medicine Physician in Birmingham, Alabama.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 951 in Pain Medicine Physician, 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
2K
Medicare Part D claims · 93 beneficiaries · Pain Medicine Physician avg: 2K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sandra Durham, M.D. filed 1,583 Medicare Part D claims in 2023 as a Pain Medicine Physician in Birmingham, Alabama, prescribing 93% generic.
- 2K
- Part D claims, 2023
- 93%
- generic prescribing
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.
Sandra Durham, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,583 Top 19% higher than 81% 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
◑
Board-eligible specialty (heuristic, not verified)
Sandra Durham, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Sandra Durham, M.D.?
Quality data not reportedPrimary specialty
Pain Medicine Physician
Medicare Part D claims
1,583 24% vs specialty avg
Specialty distribution in Alabama
How Pain Medicine Physician compares to other specialties among Alabama 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 Pain Medicine Physician. 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).
Sandra Durham, M.D. appears in the CMS NPPES registry as a Pain Medicine Physician provider holding M.D. credentials at 6801 CAHABA VALLEY RD, Birmingham, AL, 35242, with a listed phone of (205) 222-7651. NPI 1487794301 was issued on 02/08/2007.
Medicare Part D records for calendar year 2023 show 1,583 prescription claims written by this provider, covering 93 Medicare beneficiaries and totaling roughly $117K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 83.8%.
Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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 | 1487794301 |
|---|---|
| Specialty | Pain Medicine Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 02/08/2007 |
Brand vs generic prescribing mix · Generic-heavy
Sandra Durham, M.D. - brand share 7.0%
Pain Medicine Physician average
7% brand-name claims vs 93% generic, on 1,583 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.
1,583
Total Claims
$117K
Total Drug Cost
93
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,589
- Total Day Supply
- 44,429
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $71K
- Generic Drug Cost
- $46K
- Opioid Claims
- 1,326 (83.8% rate)
Patient Demographics
- Average Patient Age
- 65.3 years
- Avg HCC Risk Score
- 1.35
- Gender Split
- 49% female / 51% male
- Age Distribution
- <65: 38, 65-74: 41, 75-84: 14, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sandra Durham, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone Hcl
Oxycodone Hcl
536 claims
- Methadone Hcl
Methadone Hcl
234 claims
- Morphine Sulfate Er 181
Morphine Sulfate Er
181 claims
- Hydrocodone-Acetam… 117
Hydrocodone-Acetaminophen
117 claims
- Morphine Sulfate 86
Morphine Sulfate
86 claims
- Gabapentin 82
Gabapentin
82 claims
- Oxycodone-Acetamin… 73
Oxycodone-Acetaminophen
73 claims
- Oxycontin 52
Oxycontin
52 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 536 |
| Methadone Hcl | 234 |
| Morphine Sulfate Er Morphine Sulfate | 181 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 117 |
| Morphine Sulfate | 86 |
| Gabapentin | 82 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 73 |
| Oxycontin Oxycodone Hcl | 52 |
| Tizanidine Hcl | 51 |
| Clonazepam | 22 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pain Medicine Physician Overview
How Sandra Durham, M.D. fits within the Pain Medicine Physician landscape nationally.
951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider
Sandra Durham, M.D.'s 1,583 claims are below the specialty average of 2,078.
Nearby Pain Medicine Physician Providers in Alabama
Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as Durham.
Dr. Sharon Ganey
CRNP
Spanish Fort, AL
Dr. Gaylyn Horne
MD
Pell City, AL
Dr. Ralph Irvin
MD
Mobile, AL
Dr. David Longmire
MD
Russellville, AL
Dr. Chykeetra Maltbia
M.D.
Mobile, AL
Compare Pain Medicine Physician 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 Alabama medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine Physician 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.
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Frequently Asked Questions
What is Sandra Durham, M.D.'s specialty? ▼
Sandra Durham, M.D. specializes in Pain Medicine Physician and practices in Birmingham, Alabama. Credentials: M.D..
How much does Sandra Durham, M.D. prescribe under Medicare Part D? ▼
In 2023, Sandra Durham, M.D. wrote 1,583 Medicare Part D claims totaling $117K in drug costs for 93 beneficiaries.
Where is Sandra Durham, M.D. located? ▼
Sandra Durham, M.D. is located at 6801 CAHABA VALLEY RD, Birmingham, AL, 35242. Phone: (205) 222-7651.
What is Sandra Durham, M.D.'s NPI number? ▼
Sandra Durham, M.D.'s National Provider Identifier (NPI) is 1487794301, issued on 02/08/2007.
Does Sandra Durham, M.D. prescribe more brand-name or generic drugs? ▼
Sandra Durham, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $71K in brand drug costs.
Does Sandra Durham, M.D. prescribe opioids? ▼
Yes, Sandra Durham, M.D. had 1,326 opioid claims in 2023 with an opioid prescribing rate of 83.8%.
How many Pain Medicine Physician providers are there in the US? ▼
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does Sandra Durham, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Sandra Durham, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Methadone Hcl, Morphine Sulfate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sandra Durham, M.D. accept Medicare? ▼
Sandra Durham, M.D. appears in CMS Medicare data with 1,583 Part D claims and 93 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sandra Durham, M.D.'s credentials? ▼
Sandra Durham, M.D.'s NPI is 1487794301 with credentials M.D.. 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.