Melanie Durham, PA-C
NPI 1578544110 · Surgical Physician Assistant · Columbia, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melanie Durham, PA-C is a Surgical Physician Assistant provider in Columbia, TN (NPI 1578544110).
Provider details
- NPI number
- 1578544110
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 992 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
726 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 206 | $70 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 116 | $100 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 108 | $53 |
| X-Ray of Shoulder, 1 View73020 | 47 | $6 |
| X-Ray of Hip, 2-3 Views73502 | 46 | $9 |
| X-Ray of Knee, 3 Views73562 | 36 | $7 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 59 | 24 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 39 | 28 |
| Oxycodone Hcl | 13 | 13 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 13 | 13 |
| Methocarbamol | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$41 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-10
- Last updated
- 2010-01-15
Frequently asked questions
- What is Melanie Durham's NPI number?
- Melanie Durham's National Provider Identifier (NPI) is 1578544110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melanie Durham's specialty?
- Melanie Durham is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Melanie Durham located?
- Melanie Durham's practice location on file with NPPES is 1222 Trotwood Ave, Columbia, TN 38401-6436.
- What is Melanie Durham's phone number?
- The practice phone number listed in the NPPES registry for Melanie Durham is (931) 380-3033.
- Does Melanie Durham accept Medicare?
- Melanie Durham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melanie Durham's NPI active?
- Yes — Melanie Durham's NPI (1578544110) is active in the NPPES registry as of the last update on 2010-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.