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 1,006 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 · 105 beneficiaries · Pain Medicine Physician avg: 2K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Sandra Durham, M.D. filed 1,548 Medicare Part D claims in 2024 as a Pain Medicine Physician in Birmingham, Alabama, prescribing 94% generic.
- 2K
- Part D claims, 2024
- 94%
- generic prescribing
- ≥81st
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Sandra Durham, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1487794301), first enumerated 02/08/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,548 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1487794301 · Pain Medicine Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1487794301
- ENUM-MID 2007
- TAX-NARROW 1,006
- RX-MID 1,548
- BOOK-THIN 9 in Alabama
- PHOTO-ENUM Lanny Hsu · 2007
Sandra Durham, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,548 ≥ 81st percentile 81% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
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
1,548 26% 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).
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 6.0%
Pain Medicine Physician average
6% brand-name claims vs 94% generic, on 1,548 2024 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 2024.
1,548
Total Claims
$108K
Total Drug Cost
105
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,572.833
- Total Day Supply
- 44,205
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $72K
- Generic Drug Cost
- $36K
- Opioid Claims
- 1,267 (81.8% rate)
Patient Demographics
- Average Patient Age
- 66.4 years
- Avg HCC Risk Score
- 1.41
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 37, 65-74: 53, 75-84: 15, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Sandra Durham, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxycodone Hcl
Oxycodone Hcl
587 claims
- Methadone Hcl 201
Methadone Hcl
201 claims
- Morphine Sulfate Er 163
Morphine Sulfate Er
163 claims
- Gabapentin 105
Gabapentin
105 claims
- Oxycodone-Acetamin… 90
Oxycodone-Acetaminophen
90 claims
- Hydrocodone-Acetam… 72
Hydrocodone-Acetaminophen
72 claims
- Morphine Sulfate 62
Morphine Sulfate
62 claims
- Oxycontin 55
Oxycontin
55 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 587 |
| Methadone Hcl | 201 |
| Morphine Sulfate Er Morphine Sulfate | 163 |
| Gabapentin | 105 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 90 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 72 |
| Morphine Sulfate | 62 |
| Oxycontin Oxycodone Hcl | 55 |
| Tizanidine Hcl | 31 |
| Zolpidem Tartrate | 27 |
* 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.
1,006
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,094
Avg Claims per Provider
Sandra Durham, M.D.'s 1,548 claims are below the specialty average of 2,094.
Nationwide Pain Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Durham, both outside Alabama so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 9 Pain Medicine Physician providers enrolled in Alabama, 5 are shown here.
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
Aliya Lundy
PA-C
Foley, AL
Compare Pain Medicine Physician nationally: see state-by-state distribution →
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 2024, Sandra Durham, M.D. wrote 1,548 Medicare Part D claims totaling $108K in drug costs for 105 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 6% brand-name and 94% generic drugs by claim count, with $72K in brand drug costs.
Does Sandra Durham, M.D. prescribe opioids? ▼
Yes, Sandra Durham, M.D. had 1,267 opioid claims in 2024 with an opioid prescribing rate of 81.8%.
How many Pain Medicine Physician providers are there in the US? ▼
There are 1,006 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,094 Medicare Part D claims per year.
What drugs does Sandra Durham, M.D. prescribe most often? ▼
Based on 2024 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 1,548 Part D claims and 105 Medicare beneficiaries in 2024. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.