Breach filing
ArchivedMiddletown Medical P.C.: 63,551 individuals, Mar 2018.
Middletown Medical P.C. reported a breach of unsecured protected health information to the HHS Office for Civil Rights on 29 March 2018. The filing records the organisation as a healthcare provider in New York and lists 63,551 individuals affected, which makes it the 71st largest of the 511 New York filings on the register and the 30th largest of the 369 filings submitted nationally in 2018. Among the 17 New York filings made in 2018 it ranks 6th.
Individuals affected
63,551
As reported to HHS
Modelled cost (IBM 2025)
$10.2M
Method shown, not disclosed
Rank in NY
71st
of 511 New York filings
Rank in 2018
30th
of 369 filings nationally
Section F.1 / The filing
As posted by HHS OCR
Every value below is the portal's own field for this filing, plus its rank within the register.
- Covered entity type
- Healthcare Provider
- Individuals affected
- 63,551
- Breach submission date
- 29 March 2018
- Submission year
- 2018
- Type of breach
- Unauthorized Access/Disclosure
- Location of breached information
- Electronic Medical Record
- Business associate present
- No
- State
- New York (NY)
- Portal status
- listed in the HHS OCR breach portal archive
- Rank in New York by size
- 71st of 511
- Rank in 2018 nationally
- 30th of 369
- New York median filing
- 5,338 individuals
- Register id (derived)
- NY-20180329-middletown-medical-pc
Section F.2 / In context
Where this filing sits in New York and in 2018
OCR classifies the incident as unauthorized access or disclosure, with the breached information held in an electronic medical record system. Unauthorized Access/Disclosure is the type recorded on 100 of the 511 New York filings (20%) and on 38% of all filings submitted in 2018. Electronic Medical Record appears on 6% of New York filings.
No business associate is recorded on the filing; 30% of New York filings do involve one. At 63,551 individuals the breach is 12 times the New York median filing of 5,338 and 16 times the national median of 4,000 across all 7,884 filings. It sits in the 10,000 to 99,999 band, which holds 1,938 filings.
As of 28 August 2026 the case is listed in the HHS OCR breach portal archive. OCR's closing summary of the case is reproduced in full below.
New York's breach notification statute (N.Y. Gen. Bus. Law 899-aa) requires notice to affected residents in the most expedient time possible and without unreasonable delay, no later than 30 days after discovery. Its attorney general threshold: all breaches (AG, Dept. of State, State Police). The HIPAA Breach Notification Rule ran alongside it: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery, which is the clock that put this filing on the portal.
Multiplying 63,551 individuals by IBM's $160 customer-PII cost per record (Cost of a Data Breach 2025, the figure the site's calculator uses) gives a modelled $10.2M; the 2026 edition's $192 gives $12.2M. Both are modelled estimates with the method shown, not costs disclosed by Middletown Medical P.C.. For scale, IBM's 2026 average cost of a healthcare breach is $6.64M, so this filing models at 1.8 times the sector average.
Section F.3 / OCR closing summary
The portal's archived description, in full
Written by the Office for Civil Rights when the case was closed and reproduced verbatim from the HHS export.
A misconfigured radiology interface application permitted unauthorized individuals to access 63,551 patients' electronic protected health information (ePHI). The ePHI affected by this incident included patients' names, dates of birth, client identification numbers, dates of service, and, for approximately 250 patients, radiology reports and images. The covered entity (CE) provided breach notification to HHS, affected individuals, and the media. Following the breach, the CE secured the radiology application so that only authorized staff could access it, amended its policies and procedures to require that all systems and their security settings be tested in a test environment prior to live deployment, and trained relevant workforce members regarding this policy change. The CE also sanctioned the workforce member responsible for this incident. OCR obtained assurances that the CE implemented the corrective actions listed. Additionally, the CE is expected to perform a risk analysis and establish a risk management plan, and document the unauthorized disclosure of its patients' ePHI for accounting of disclosure purposes. Also, the CE is expected to perform a technical and non-technical evaluation in response to environmental or operational changes, regularly review records of activity in all information systems, implement procedures for monitoring log-in attempts, and implement audit controls and valid encryption processes.
Section F.5 / Modelled cost
63,551 individuals through IBM's per-record figures
Modelled cost / method shown, not a disclosed cost
ModelledIBM 2025 customer PII, $160 per record
$10.2M
63,551 x $160
IBM 2026 customer PII, $192 per record
$12.2M
63,551 x $192
Method: individuals affected, as reported by Middletown Medical P.C. to HHS, multiplied by IBM's customer-PII cost per record (Cost of a Data Breach 2025 Figure 6 and the 2026 edition). No cost has been disclosed by the entity for this filing; the figure is a planning estimate, not a fact about the breach. IBM's per-record figures come from mid-volume breaches and IBM cautions against applying them to breaches involving millions of records; the site's per-record page explains where the multiplication holds and where it breaks down.
Context: IBM's average cost of a healthcare breach is $6.64M in the 2026 report ($7.42M in 2025); the global average across all sectors was $4.44M in 2025.
Cost per record: method and limits / Healthcare breach cost, IBM 2026
Section F.6 / Notification clock
New York statute and the HIPAA rule
State notification statute
New York: N.Y. Gen. Bus. Law 899-aa
amended by the SHIELD Act
- Notice to individuals
- In the most expedient time possible and without unreasonable delay, no later than 30 days after discovery
- Attorney general threshold
- All breaches (AG, Dept. of State, State Police) (Aligned with timing and content of individual notices)
- Private right of action
- Limited: Actual damages only; no statutory damages and no attorney-fee recovery; enforced primarily by the AG
- Penalty
- Greater of $5,000 or $20 per failed notification, capped at $250,000; safeguard violations up to $5,000 each
The HIPAA Breach Notification Rule runs alongside the state statute: notice to affected individuals and to HHS without unreasonable delay and no later than 60 days after discovery.
Section F.7 / Peer filings
New York filings closest in size
Neighbours by size rank among New York filings in 2018, topped up from other years where 2018 has too few. Filings of 10,000 or more link to their own page.
| Covered entity | Type | Individuals | Submitted | Breach type | Location | BA |
|---|---|---|---|---|---|---|
| St. Peter's Ambulatory Surgery Center LLC - d/b/a St. Peter's Surgery & Endoscopy Center | Healthcare Provider | 134,512 | 28 Feb 2018 | |||
| New York Oncology Hematology, P.C. | Healthcare Provider | 128,400 | 16 Nov 2018 | |||
| University of Vermont Health Network - Elizabethtown Community Hospital | Healthcare Provider | 32,470 | 17 Dec 2018 | |||
| Ruben U. Carvajal, MD | Healthcare Provider | 3,775 | 17 Jul 2018 |
Index / Companion schedules
13 HHS breach register
→Hub: every filing, by state, year and entity.
04 Biggest breaches
→Mega-breaches with primary-source cost figures.
Industry / Healthcare
→IBM 2026: $6.64M average, 13 years at #1.
Regulation / HIPAA penalties
→OCR enforcement tiers and the 60-day rule.
11 50-state laws
→Deadline, AG threshold and penalties per state.
Cost / Per record
→Where the per-record model is reliable.
Provenance
Source: U.S. Department of Health and Human Services, Office for Civil Rights, Breach Portal (breaches affecting 500 or more individuals), retrieved 2026-08-28. Public domain. Individuals affected and dates as reported by the covered entity.
Portal: ocrportal.hhs.gov breach report. Statutory basis: HITECH Act section 13402(e)(4): the Secretary must post a list of breaches of unsecured protected health information affecting 500 or more individuals. Breaches affecting fewer than 500 individuals are reported to OCR annually and are not posted, so they are not on this register. Status wording follows the portal's two tabs ("Cases Currently Under Investigation" and "Archive") as of 28 August 2026; a filing moves to the archive when OCR closes the case. Modelled costs on this site are a method applied to the reported count, using IBM Cost of a Data Breach per-record figures, and are never a cost disclosed by the entity. This row: hhs-breach-archive__2026-08-28.csv, export row 4921.
Corrections: if you represent a listed entity and the portal row has been amended, email [email protected] with the portal entry and we will re-pull the export.