2026 NPPES data Hypertension Specialist Physician NPI 1982758389 MD
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BRIAN GRAHAM, MD

Hypertension Specialist Physician in AURORA, Colorado. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
41
Medicare Part D claims · 16 beneficiaries · Hypertension Specialist Physician avg: 2K
Generic prescribing
39%
generic claims · 61% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.8508/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$269.14
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BRIAN GRAHAM, MD reported a CMS MIPS final score of 91.8508/100 — above the 83.1 national average — and filed 41 Medicare Part D claims in 2023.

91.8508/100
MIPS score · +9 vs avg
41
Part D claims, 2023
39%
generic prescribing
Likely
board-certified (heuristic)

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.

BRIAN 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

92 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

BRIAN GRAHAM, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about BRIAN GRAHAM, MD?

High performer (top quartile)

NPI registry status

Active

Issued 01/22/2007

NPI 1982758389

Primary specialty

Hypertension Specialist Physician

Rare

40 US NPIs in this specialty

Medicare Part D claims

41 98% vs specialty avg

2023 prescription claims

Specialty avg: 2,136

MIPS final score

91.8508/100 8.750800000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Hypertension Specialist Physician compares to other specialties among Colorado providers

Colorado providers

Hypertension Specialist Physician share within Colorado

1. Hypertension Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hypertension Specialist Physician share within Colorado

Medicare quality performance — MIPS

BRIAN GRAHAM, MD's 2023 MIPS final score plotted against the Hypertension Specialist Physician national average

High performer (top quartile)
MIPS Final Score
91.8508/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hypertension Specialist Physician) — 91.8508/100 vs national avg 83.1

0%100%National avg83%91.9%
MIPS final score (Hypertension Specialist Physician) — 91.8508/100 vs national avg 83.1

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).

BRIAN GRAHAM, MD appears in the CMS NPPES registry as a Hypertension Specialist Physician provider holding MD credentials at 12605 E 16TH AVE, AURORA, CO, 80045, with a listed phone of (720) 848-0000. NPI 1982758389 was issued on 01/22/2007. 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 41 prescription claims written by this provider, covering 16 Medicare beneficiaries and totaling roughly $11K in drug spend, split 61% brand-name and 39% generic by claim count. 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 91.8508/100 for the 2023 performance year (Quality 83.5371, Cost 68.0152), compared with the national average of 83.1.

Hypertension Specialist Physician is a narrow specialty nationwide, with 40 enrolled providers across 20 states and an average of 2,136 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

12605 E 16TH AVE
AURORA, CO 80045

Provider Details

NPI 1982758389
Specialty Hypertension Specialist Physician
Credentials MD
Gender Male
NPI Issued 01/22/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.8508
Final Score
Avg: 83.1
83.5371
Quality
68.0152
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRIAN GRAHAM, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CHINESE HOSPITAL ASSOCIATION
SAN FRANCISCO, CA
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
SAN FRANCISCO, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for BRIAN GRAHAM, MD. Source: openpaymentsdata.cms.gov.

Total received

$269

Largest payer

Bayer Healthcare Pharmaceuticals Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

BRIAN GRAHAM, MD — brand share 61.0%
Specialty average (est.)

61% brand-name claims vs 39% generic, on 41 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.

41
Total Claims
$11K
Total Drug Cost
16
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
62
Total Day Supply
1,696
Brand vs Generic
61% brand / 39% generic
Brand Drug Cost
$10K

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
2.01

Hypertension Specialist Physician Overview

How BRIAN GRAHAM, MD fits within the Hypertension Specialist Physician landscape nationally.

40
Hypertension Specialist Physician Providers in US
20
States with Hypertension Specialist Physician
2,136
Avg Claims per Provider

BRIAN GRAHAM, MD's 41 claims are below the specialty average of 2,136.

Nearby Hypertension Specialist Physician Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as GRAHAM.

Compare Hypertension Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRIAN GRAHAM, MD's specialty?
BRIAN GRAHAM, MD specializes in Hypertension Specialist Physician and practices in AURORA, Colorado. Credentials: MD.
How much does BRIAN GRAHAM, MD prescribe under Medicare Part D?
In 2023, BRIAN GRAHAM, MD wrote 41 Medicare Part D claims totaling $11K in drug costs for 16 beneficiaries.
What is BRIAN GRAHAM, MD's Medicare quality score?
BRIAN GRAHAM, MD has a CMS MIPS Final Score of 91.8508/100 (Quality: 83.5371, Cost: 68.0152). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN GRAHAM, MD located?
BRIAN GRAHAM, MD is located at 12605 E 16TH AVE, AURORA, CO, 80045. Phone: (720) 848-0000.
What is BRIAN GRAHAM, MD's NPI number?
BRIAN GRAHAM, MD's National Provider Identifier (NPI) is 1982758389, issued on 01/22/2007.
Does BRIAN GRAHAM, MD prescribe more brand-name or generic drugs?
BRIAN GRAHAM, MD's prescribing is 61% brand-name and 39% generic drugs by claim count, with $10K in brand drug costs.
How many Hypertension Specialist Physician providers are there in the US?
There are 40 Hypertension Specialist Physician providers across 20 states in the US. The average Hypertension Specialist Physician provider writes 2,136 Medicare Part D claims per year.
Does BRIAN GRAHAM, MD accept Medicare?
BRIAN GRAHAM, MD appears in CMS Medicare data with 41 Part D claims and 16 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN GRAHAM, MD's credentials?
BRIAN GRAHAM, MD's NPI is 1982758389 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

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