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DONALD R. GRAHAM M.D.
NPI 1508962366
Internal Medicine in Springfield, IL

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
301 N 8TH ST, SPRINGFIELD, IL 62701(217) 528-7541 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2025, May 22, 2020 (2 updates tracked since 2020).

About Donald R. Graham M.d. NPPES

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

DONALD R. GRAHAM M.D. (NPI 1508962366) is an individual internal medicine provider in Springfield, Illinois, licensed in Illinois (036060578) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Washington University School Of Medicine (1974).

NPPES Registry Identity

NPI1508962366
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDONALD R. GRAHAMCredential: M.D.
Location Address301 N 8TH STSpringfield, IL 62701-1041
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Phone(217) 528-7541
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1974
Enumeration DateSeptember 16, 2006
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1508962366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036060578
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 036-060578 (IL)
301 N 8TH ST, Springfield, IL 62701
Open in Google Maps ↗

Other Identifiers 1

Medicaid036060578IL

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

Donald R. Graham 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 ID4183535867
PECOS Enrollment IDI20060106000585
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 10

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
190 services83 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
160 services72 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.
140 services62 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
51 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services33 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$920.73 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.

REBECCA L SAUNDERS CPNP
Nurse Practitioner
301 N 8TH ST, PAV 4B
SPRINGFIELD, IL 62701
Sangamon County (217) 545-7500
TRACY P MILBRANDT M.D.
Pediatrics
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 545-4238
ASHLEY KIRKPATRICK MSN,FNP-BC
Nurse Practitioner (Family)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-8000
JENNIFER LOUISE BERRY AUD
Audiologist
301 N 8TH ST, PAV 5B
SPRINGFIELD, IL 62701
Sangamon County (217) 545-6099
JOSHUA DALE CAMPBELL APRN
Nurse Practitioner (Adult Health)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-7541
TODD DAVID ELMORE MD
Psychiatry & Neurology (Neurology)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-7541
CRAIG E BATTERMAN M.D.
Pediatrics
301 N 8TH ST, STE PAV4A
SPRINGFIELD, IL 62701
Sangamon County (217) 545-4238
DR. RAHUL NAYANI MD
Internal Medicine (Gastroenterology)
301 N 8TH ST
SPRINGFIELD, IL 62701
Sangamon County (217) 528-7541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Graham's NPI number?

The NPI number for Donald Graham is 1508962366. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Donald Graham located?

Donald Graham practices at 301 N 8th St, Springfield, IL 62701. The listed phone number is (217) 528-7541.

What is Donald Graham's specialty?

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

Is Donald Graham enrolled in Medicare?

Yes. Donald Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Donald Graham affiliated with any hospitals?

According to CMS data, Donald Graham is affiliated with St Johns Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Graham was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.