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DR. GRAEME DONALD FISHER M.D.
NPI 1659362929
Radiology - Therapeutic Radiology in Mount Vernon, IL

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
4117 VETERANS MEMORIAL DRIVE, MOUNT VERNON, IL 62864(618) 241-7016 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Graeme Donald Fisher M.d. NPPES

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

DR. GRAEME DONALD FISHER M.D. (NPI 1659362929) is an individual therapeutic radiology provider in Mount Vernon, Illinois, licensed in Illinois (036-115830) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of Boston University School Of Medicine (1992).

NPPES Registry Identity

NPI1659362929
Entity TypeIndividualMale
Primary Taxonomy2085R0203X
Provider Legal NameDR. GRAEME DONALD FISHERCredential: M.D.
Location Address4117 VETERANS MEMORIAL DRIVEMount Vernon, IL 62864
Mailing Address6 Sandy Ridge RdSterling, MA 01564-2362 · (978) 422-9646
Phone(618) 241-7016
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1992
Enumeration DateNovember 4, 2005
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1659362929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Therapeutic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0203X
License✔ Licensed in IL · 036-115830
Definition
Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License 152515 (MA), MD2025-0590 (NM)
4117 VETERANS MEMORIAL DRIVE, Mount Vernon, IL 62864
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Secondary Practice Location 1

Location 1801 W Maple StFarmington, NM 87401-5630 · Phone (505) 609-6259

Other Identifiers 1

Medicaid3162044MA

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. Graeme Donald Fisher 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 ID9234141987
PECOS Enrollment IDI20060620000063, I20251204000513
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.

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 Graeme Fisher's NPI number?

The NPI number for Graeme Fisher is 1659362929. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Graeme Fisher located?

Graeme Fisher practices at 4117 Veterans Memorial Drive, Mount Vernon, IL 62864. The listed phone number is (618) 241-7016.

What is Graeme Fisher's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Is Graeme Fisher enrolled in Medicare?

Yes. Graeme Fisher 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.

When was this NPI record last updated?

The NPPES record for Graeme Fisher was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.