What is John Durham's specialty?

John Durham (NPI 1558396309) is a Medicare-billing provider whose primary specialty is Nephrology in Orangeburg, SC.

Where does John Durham practice?

John Durham practices in Orangeburg, SC, based on the location reported in the CMS Medicare provider datasets for NPI 1558396309.

How much does Medicare pay John Durham?

John Durham (NPI 1558396309) received approximately $129K in total Medicare Part B payments, serving 445 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1558396309

John DurhamMD

PRACTICEPALMETTO NEPHROLOGY PASee all providers at this practice →

NephrologyOrangeburg, SCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

671

Unique beneficiaries

—

Total services

1,346

Distinct HCPCS

Medicare payment

$121K

Peer benchmark

Total Medicare services vs. 138 Nephrology providers in SC — below median (cohort median 2,014).

PRESCRIBING · PART D · 2024

Total Rx claims

685

Beneficiaries

—

Total drug cost

$75K

Distinct drugs

Brand share

16.6%

Top prescribed drugs

Amlodipine Besylate83 claims

Losartan Potassium60 claims

Calcium Acetate55 claims

Sevelamer Carbonate42 claims

Nifedipine38 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

88.3

Cost

76.6

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$286

Payment records

By payment type

Food and Beverage$266

Education$20

Top paying entities

Food and Beverage$266

Education$20

REFERRAL NETWORK

Where John Durham's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 55 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
THE REGIONAL MEDICAL CENTER OF ORANGEBURG AND CALHOUN COUNTIES	591	2,953
Mohammad Nassri Nephrology · Orangeburg, SC	380	2,198
Harriet Moorer Nurse Practitioner · Orangeburg, SC	127	198
DVA HEALTHCARE RENAL CARE INC	97	932
George Castro Cardiology · Orangeburg, SC	72	264
Orangeburg County Ems Ambulance Service Provider · Orangeburg, SC	70	311
FAMILY HEALTH CENTERS, INC	59	150
DVA HEALTHCARE RENAL CARE INC	57	538
John Hutto Cardiology · Orangeburg, SC	54	172
George Augustine Pulmonary Disease · Orangeburg, SC	45	356
Marie Gehling Nurse Practitioner · Orangeburg, SC	45	220
DVA HEALTHCARE RENAL CARE INC	45	402

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events