DR. LORI M GRAFTON M.D.
NPI 1144363755
Physical Medicine & Rehabilitation - Brain Injury Medicine in Hummelstown, PA

Q: What is Lori Grafton's NPI number?

The NPI number for Lori Grafton is 1144363755. It was assigned to this individual provider in the NPPES registry on February 14, 2007. The provider is also known as Dr. Lori M Wagenman M.D..

Q: What is Lori Grafton's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Brain Injury Medicine, with taxonomy code 2081P0301X.

Q: When was this NPI record last updated?

The NPPES record for Lori Grafton was last updated on April 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment

71.78/100

CMS Quality Rating

1135 OLDE W CHOCOLATE AVE, PENN STATE HERSHEY REHABILITATION HOSPITAL, HUMMELSTOWN, PA 17036(717) 531-7010(717) 531-7102 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Lori M Grafton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LORI M GRAFTON M.D. (NPI 1144363755) is an individual brain injury medicine provider in Hummelstown, Pennsylvania, licensed in Pennsylvania (MD427408) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2003).

NPPES Registry Identity

NPI1144363755

Entity TypeIndividualFemale

Primary Taxonomy2081P0301X

Provider Legal NameDR. LORI M GRAFTONCredential: M.D.

Location Address1135 OLDE W CHOCOLATE AVE, PENN STATE HERSHEY REHABILITATION HOSPITALHummelstown, PA 17036-9188

Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455 · Fax (717) 531-7269

Phone(717) 531-7010

Fax(717) 531-7102

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2003

Enumeration DateFebruary 14, 2007

Last NPPES UpdateApril 6, 2016

✔ NPI 1144363755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Brain Injury MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0301X

License✔ Licensed in PA · MD427408

Definition

A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License P17893 (MD), 2007-00403 (NC)

1135 OLDE W CHOCOLATE AVE, Hummelstown, PA 17036

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Lori M Wagenman M.d.

Other Identifiers 5

Medicare PIN2066314NC

Other145VPNC · Ncbcbs

Medicaid1144363755NC

Medicaid5906924NC

MedicaidN03007SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lori M Grafton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305947631

PECOS Enrollment IDI20160120000522

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

454 services141 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

65 services63 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

52 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

52 services51 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

39 services23 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

28 services27 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390004

Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County

Emergency services

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390336

Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

48.32

Promoting Interoperability

100

Improvement Activities

Cost

57.63

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with detachable arms E0165

DME-Other DME · category DE000N

1 supplier11 claims11 services$8.80 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$22.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA TEMPLETON MS,OTR/L

Occupational Therapist