MARK W GRAVES MD
NPI 1285702308
Internal Medicine in Springfield, IL

Q: What is Mark Graves's NPI number?

The NPI number for Mark Graves is 1285702308. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Mark Graves's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Graves was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2006PECOS Enrolled

751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2021, Feb 24, 2020, Feb 19, 2020 and 2 more (5 updates tracked since 2018).

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About Mark W Graves Md NPPES

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

MARK W GRAVES MD (NPI 1285702308) is an individual internal medicine provider in Springfield, Illinois, licensed in Illinois (036-145917) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285702308

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMARK W GRAVESCredential: MD

Location Address751 N RUTLEDGE ST STE 1100Springfield, IL 62702-4968

Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000

Phone(217) 545-8000

Sole ProprietorNo

Enumeration DateNovember 30, 2006

Last NPPES UpdateDecember 10, 20215 updates tracked since enumeration

NPPES CertifiedDecember 10, 2021

✔ NPI 1285702308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IL · 036-145917✔ Licensed in IN · 01043637A

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

751 N RUTLEDGE ST STE 1100, Springfield, IL 62702

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Secondary Practice Locations 2

Location 1421 Chestnut StEvansville, IN 47713-1227 · Phone (812) 426-9372 · Fax (812) 858-4545

Location 21600 E Clear Lake Ave Ste 120Springfield, IL 62703-1172 · Phone (217) 545-8000

Other Identifiers 4

Other000000277884IL · Anthem Nuc Med Id

Other000000109382IN · Anthem Im Identification

Medicaid200043550IN

Other64878861KY · Ky Medicaid

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark W Graves Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Mark Graves reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siu Physicians & Surgeons, Inc

0.3 mi

Endocrinology, Diabetes & Metabolism

201 E MADISON ST STE 328
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
645 clinicians in this Medicare group

NPI 1558385989 (217) 545-8000

Board Of Trustees Of Southern Illinois University

0.8 mi

Primary Care

520 N 4TH ST
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
262 clinicians in this Medicare group

NPI 1396097960 (217) 757-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers11 claims28 services$6.23 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$9.05 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$6.28 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$3.33 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers12 claims1,367 services$0.03 avg. paid by Medicare

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

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.

ANAND PATEL PHARMD

Pharmacist (Ambulatory Care)