Alan Graham, MD
Surgical Physician Assistant in London, Kentucky. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 16,119 in Surgical Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Alan Graham, MD reported a CMS MIPS final score of 8.4/100 — below the 83.1 national average — and filed 844 Medicare Part D claims in 2023.
- 8.4/100
- MIPS score · -75 vs avg
- 844
- Part D claims, 2023
- 87%
- generic prescribing
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.
Alan Graham, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
8 2nd percentile higher than 2% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Alan Graham, MD sits
This provider among surgical physician assistant peers
Across the 3,708 surgical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Alan Graham, MD writes more Part D claims than 92% of them and scores higher on MIPS quality than 0% — placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one surgical physician assistant peer from a representative sample of 60; the gold marker is Alan Graham, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Alan Graham, MD?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Kentucky
How Surgical Physician Assistant compares to other specialties among Kentucky providers
Largest specialties in Kentucky (% of in-state providers)
Surgical Physician Assistant ranks #66 among Kentucky's specialties (0.2% of in-state providers)
Each bar is a specialty's share of the Kentucky provider total, by primary NUCC taxonomy. The highlighted bar is Surgical Physician Assistant; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance — MIPS
Alan Graham, MD's 2023 MIPS final score plotted against the Surgical Physician Assistant national average
- MIPS Final Score
- 8.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgical Physician Assistant) — 8.4/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Surgical Physician Assistant US NPIs
8.4/100 MIPS final score — 74.7 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Surgical Physician Assistant. Quality dim: 0. Cost dim: 27.9.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Alan Graham, MD appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding MD credentials at 200 CITY HILL DR, London, KY, 40741, with a listed phone of (606) 878-6633. NPI 1598876328 was issued on 08/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Graham most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 844 prescription claims written by this provider, covering 421 Medicare beneficiaries and totaling roughly $28K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 5.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 8.4/100 for the 2023 performance year (Quality 0, Cost 27.9), compared with the national average of 83.1.
Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,119 enrolled providers across 54 states and an average of 316 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1598876328 |
|---|---|
| Specialty | Surgical Physician Assistant |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/31/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Alan Graham, MD's current license status, disciplinary history, and board certifications with the Kentucky Board of Medical Licensure in Kentucky before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
Brand vs generic prescribing mix · Typical
13% brand-name claims vs 87% generic, on 844 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 1,070
- Total Day Supply
- 25,107
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $14K
- Generic Drug Cost
- $14K
- Opioid Claims
- 44 (5.2% rate)
- Antibiotic Claims
- 33
Patient Demographics
- Average Patient Age
- 68.1 years
- Avg HCC Risk Score
- 1.10
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 112, 65-74: 213, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Alan Graham, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Famotidine
Famotidine
363 claims
- Pantoprazole Sodium
Pantoprazole Sodium
163 claims
- Clenpiq 55
Clenpiq
55 claims
- Hydrocodone-Acetam… 41
Hydrocodone-Acetaminophen
41 claims
- Fluorouracil 18
Fluorouracil
18 claims
- Colestipol Hcl 12
Colestipol Hcl
12 claims
- Omeprazole 12
Omeprazole
12 claims
- Dicyclomine Hcl 11
Dicyclomine Hcl
11 claims
| Drug | Claims |
|---|---|
| Famotidine | 363 |
| Pantoprazole Sodium | 163 |
| Clenpiq Sod Picosulf/Mag Ox/Citric Ac | 55 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 41 |
| Fluorouracil | 18 |
| Colestipol Hcl | 12 |
| Omeprazole | 12 |
| Dicyclomine Hcl | 11 |
| Gavilyte-G "Peg3350/Sod Sulf | N/A |
| Sod Sulf-Potass Sulf-Mag Sulf "Sodium | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgical Physician Assistant Overview
How Alan Graham, MD fits within the Surgical Physician Assistant landscape nationally.
Alan Graham, MD's 844 claims are above the specialty average of 316.
Nearby Surgical Physician Assistant Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Graham.
Compare Surgical Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Kentucky medical board — federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology