Active NPI 1003006115 Individual Practitioner Male Practitioner

Benjamin Durham , PA-C

Physician Assistant - Surgical • Thomaston, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Benjamin Durham, PA-C is a certified Physician Assistant - Surgical practicing in Thomaston, GA. With approximately 19 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2007, Benjamin Durham delivers high-quality medical care to the local community at 522 N CENTER ST.

Benjamin Durham is affiliated with Hughston Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

522 N Center St

Thomaston, GA 302863695

Telephone 7066464371

Fax 7066464372

Associated Practice Facility / Clinic

🏢 Upson Orthopaedic Clinic Facility NPI 1578783080

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Thomaston, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs Matches City Avg

City Avg: 19.0 Yrs

State Avg: 15.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Thomaston, GA (539 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Durham (19 Years) 19 Yrs

Thomaston Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,058	226	$14.00	$0.96
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	944	12	$35.00	$8.04
99213 Established patient office or other outpatient visit, typically 15 minutes	816	334	$221.00	$69.95
20610 Aspiration and/or injection of fluid from large joint	308	163	$189.35	$50.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	256	163	$139.00	$43.63
73564 X-ray of knee, 4 or more views	123	113	$205.04	$34.61
27447 Replacement of knee joint, both sides of knee	105	102	$8346.00	$150.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$275.00	$84.79
73030 X-ray of shoulder, minimum of 2 views	90	57	$175.31	$25.34
72100 X-ray of lower and sacral spine, 2-3 views	77	72	$205.00	$29.71
20551 Injection into tendon at attachment to bone or muscle	69	55	$161.00	$43.82
73502 X-ray of hip, 2-3 views	63	54	$195.00	$35.42
73562 X-ray of knee, 3 views	53	45	$169.00	$29.30
73630 X-ray of foot, minimum of 3 views	43	33	$164.00	$24.76
73610 X-ray of ankle, minimum of 3 views	36	24	$182.22	$25.90
20600 Aspiration and/or injection of fluid from small joint	31	21	$147.00	$36.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$313.00	$93.88
20605 Aspiration and/or injection of medium joint or joint capsule	25	19	$166.32	$38.36
73130 X-ray of hand, minimum of 3 views	24	19	$174.38	$26.99
72040 X-ray of upper spine, 2-3 views	22	22	$165.00	$28.72
27130 Replacement of thigh bone and hip joint with prosthesis	21	21	$8274.00	$151.61
72170 X-ray of pelvis, 1-2 views	21	19	$151.00	$21.27
20550 Injection into tendon or ligament	19	18	$161.00	$44.64
73110 X-ray of wrist, minimum of 3 views	17	14	$170.00	$26.11
73080 X-ray of elbow, minimum of 3 views	15	14	$167.00	$24.99
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$177.00	$57.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$408.00	$115.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,978	236	$14.00	$1.04
99213 Established patient office or other outpatient visit, typically 15 minutes	914	358	$239.41	$70.05
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	480	11	$35.00	$9.36
20610 Aspiration and/or injection of fluid from large joint	281	171	$203.96	$52.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	161	123	$145.19	$44.29
73564 X-ray of knee, 4 or more views	104	91	$179.19	$35.60
27447 Replacement of knee joint, both sides of knee	101	99	$5346.34	$161.03
73030 X-ray of shoulder, minimum of 2 views	96	76	$163.38	$26.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$330.53	$88.89
73502 X-ray of hip, 2-3 views	73	62	$139.11	$34.31
20551 Injection into tendon at attachment to bone or muscle	67	51	$172.06	$43.12
72100 X-ray of lower and sacral spine, 2-3 views	58	56	$157.78	$30.44
73560 X-ray of knee, 1-2 views	41	33	$132.12	$26.40
73630 X-ray of foot, minimum of 3 views	41	35	$147.76	$25.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$346.47	$96.78
27130 Replacement of thigh bone and hip joint with prosthesis	36	34	$4427.14	$161.74
72170 X-ray of pelvis, 1-2 views	35	33	$118.60	$21.20
20600 Aspiration and/or injection of fluid from small joint	34	24	$131.12	$37.81
72040 X-ray of upper spine, 2-3 views	28	27	$144.64	$29.72
20550 Injection into tendon or ligament	26	20	$151.31	$41.81
73130 X-ray of hand, minimum of 3 views	21	17	$134.95	$25.76
73562 X-ray of knee, 3 views	19	17	$182.79	$31.22
73610 X-ray of ankle, minimum of 3 views	17	14	$134.88	$26.77
20605 Aspiration and/or injection of medium joint or joint capsule	17	15	$179.00	$41.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$511.15	$133.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,074	239	$14.00	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	943	339	$252.00	$71.77
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	657	12	$35.00	$9.87
20610 Aspiration and/or injection of fluid from large joint	314	174	$214.01	$53.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	108	$366.00	$101.95
27447 Replacement of knee joint, both sides of knee	116	111	$877.50	$161.91
73564 X-ray of knee, 4 or more views	93	82	$157.29	$36.07
73030 X-ray of shoulder, minimum of 2 views	91	72	$152.31	$26.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$362.00	$90.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	62	$151.00	$44.75
73502 X-ray of hip, 2-3 views	64	52	$113.66	$36.16
72100 X-ray of lower and sacral spine, 2-3 views	60	47	$122.00	$31.29
73560 X-ray of knee, 1-2 views	52	42	$102.81	$25.90
20550 Injection into tendon or ligament	49	35	$152.04	$43.34
73630 X-ray of foot, minimum of 3 views	48	38	$127.17	$26.61
20600 Aspiration and/or injection of fluid from small joint	41	22	$125.85	$34.38
20551 Injection into tendon at attachment to bone or muscle	32	28	$180.00	$43.83
73562 X-ray of knee, 3 views	26	23	$141.92	$32.03
27130 Replacement of thigh bone and hip joint with prosthesis	26	26	$979.42	$168.45
73610 X-ray of ankle, minimum of 3 views	25	23	$117.72	$26.05
20605 Aspiration and/or injection of medium joint or joint capsule	22	15	$182.18	$42.94
73130 X-ray of hand, minimum of 3 views	19	16	$118.63	$28.60
72170 X-ray of pelvis, 1-2 views	18	16	$97.00	$21.88
72040 X-ray of upper spine, 2-3 views	18	18	$135.00	$31.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$557.00	$134.91
73080 X-ray of elbow, minimum of 3 views	14	13	$109.00	$25.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	280	50	$14.00	$1.28
99213 Established patient office or other outpatient visit, typically 15 minutes	64	61	$252.00	$70.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	48	$366.00	$102.47
27447 Replacement of knee joint, both sides of knee	39	38	$959.23	$162.75
20610 Aspiration and/or injection of fluid from large joint	39	38	$210.26	$53.25
73560 X-ray of knee, 1-2 views	16	13	$117.00	$22.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	150	30	$14.00	$1.39
99213 Established patient office or other outpatient visit, typically 15 minutes	84	72	$192.54	$58.89
20610 Aspiration and/or injection of fluid from large joint	22	20	$200.00	$48.28
27447 Replacement of knee joint, both sides of knee	19	19	$915.79	$181.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	154	29	$14.00	$1.57
99213 Established patient office or other outpatient visit, typically 15 minutes	78	69	$141.00	$59.17
27447 Replacement of knee joint, both sides of knee	31	28	$888.71	$170.96
20610 Aspiration and/or injection of fluid from large joint	20	20	$200.00	$49.46
73030 X-ray of shoulder, minimum of 2 views	14	13	$132.00	$22.00
23472 Prosthetic repair of shoulder joint, total shoulder	13	12	$1036.50	$183.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	232	45	$14.00	$1.68
99213 Established patient office or other outpatient visit, typically 15 minutes	126	111	$141.00	$56.89
20610 Aspiration and/or injection of fluid from large joint	38	38	$210.53	$49.47
27447 Replacement of knee joint, both sides of knee	22	21	$1120.36	$157.15
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$985.31	$167.66
73562 X-ray of knee, 3 views	16	12	$117.00	$20.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$65.00	$34.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$196.00	$86.09
23472 Prosthetic repair of shoulder joint, total shoulder	12	11	$1336.33	$173.48
73030 X-ray of shoulder, minimum of 2 views	12	11	$132.00	$21.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	134	25	$14.00	$1.78
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$141.00	$57.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$65.00	$34.06
27447 Replacement of knee joint, both sides of knee	30	29	$1043.93	$156.75
20610 Aspiration and/or injection of fluid from large joint	21	21	$209.52	$49.34
27130 Replacement of thigh bone and hip joint with prosthesis	15	14	$1309.47	$134.42

Medical Specialties & State Licenses

CMS Verified: 2025-08-06

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License GA 5084

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License GA 005084

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License AL PA.749

Definition to come...

Hospital & Practice Group Affiliations

Hughston Clinic Pc

4401 River Chase Dr, Phenix City, AL 368677483

Phone: 3347323000

Hughston Clinic Pc

6262 Veterans Pkwy, Columbus, GA 319093540

Phone: 7063246661

Hughston Clinic Pc

6262 Veterans Pkwy, Columbus, GA 319093540

Phone: 7064943434

Hughston Clinic Pc

161 E University Dr, Auburn, AL 368325889

Phone: 3348262090

Hughston Clinic Pc

522 N Ctr St, Thomaston, GA 302863695

Phone: 7066464371

Hughston Clinic Pc

100 Frist Ct, Columbus, GA 319093578

Phone: 7064942129

Secondary Practice Locations

2300 Manchester Expy # A, Suite 101-A

Columbus, GA 319046802

Phone: 7063222462

100 N Macon St

Macon, GA 312106563

Phone: 4782006970

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Morgan Dacosta , PT, DPT

Physical Therapist

NPI 1902374226

Physical Therapist, Doctor of Physical Therapy

Dr. Dillon Gooch , DPT

Physical Therapist

NPI 1912798414

Doctor of Physical Therapy

Dr. Edgar Dollar , DO

Family Medicine - Sports Medicine

NPI 1962763441

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location November 20, 2020

Registered at 522 N CENTER ST, THOMASTON, GA 302863695 (Tel: 7066464371)

📍

Updated Business Mailing Address June 04, 2020

Registered at PO BOX 370, FORTSON, GA 318080370

✅

NPI Profile Active July 26, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 26, 2007

Registered at 2300 MANCHESTER EXPY # A, SUITE 101-A, COLUMBUS, GA 319046802 (Tel: 7063222462)

📍

Updated Business Mailing Address July 26, 2007

Registered at PO BOX 7000, COLUMBUS, GA 319087000 (Tel: 7063222462)

👤

Provider Name / Credentials Updated July 26, 2007

Recorded as BENJAMIN DURHAM, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2007

Physician Assistant (License #005084 in GA)

🟢

Initial NPI Registration & Enumeration July 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003006115

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 26, 2007

Last Update: August 06, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 370

Fortson, GA 318080370

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.