2026 NPPES data Infectious Disease Physician NPI 1508962366 M.D.
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DONALD GRAHAM, M.D.

Infectious Disease Physician in SPRINGFIELD, Illinois. 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
819
Medicare Part D claims · 141 beneficiaries · Infectious Disease Physician avg: 816
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

DONALD GRAHAM, M.D. filed 819 Medicare Part D claims in 2023 as a Infectious Disease Physician in SPRINGFIELD, Illinois, prescribing 81% generic.

819
Part D claims, 2023
81%
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.

DONALD GRAHAM, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

819 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

DONALD GRAHAM, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 DONALD GRAHAM, M.D.?

Quality data not reported

NPI registry status

Active

Issued 09/16/2006

NPI 1508962366

Primary specialty

Infectious Disease Physician

Mid-sized

8,292 US NPIs in this specialty

Medicare Part D claims

819 0% vs specialty avg

2023 prescription claims

Specialty avg: 816

Specialty distribution in Illinois

How Infectious Disease Physician compares to other specialties among Illinois providers

Illinois providers

Infectious Disease Physician share within Illinois

1. Infectious Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Infectious Disease Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Infectious Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Infectious Disease Physician ABMS/AOA estimate

Est. board-certified rate (Infectious Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Infectious Disease Physician) — ABMS / AOA estimate

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).

DONALD GRAHAM, M.D. appears in the CMS NPPES registry as a Infectious Disease Physician provider holding M.D. credentials at 301 N 8TH ST, SPRINGFIELD, IL, 62701, with a listed phone of (217) 528-7541. NPI 1508962366 was issued on 09/16/2006. 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 819 prescription claims written by this provider, covering 141 Medicare beneficiaries and totaling roughly $320K in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 3.1%. 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.

Infectious Disease Physician is a mid-sized specialty nationwide, with 8,292 enrolled providers across 54 states and an average of 816 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

301 N 8TH ST
SPRINGFIELD, IL 62701

Provider Details

NPI 1508962366
Specialty Infectious Disease Physician
Credentials M.D.
Gender Male
NPI Issued 09/16/2006

Hospital and facility affiliations

Facilities where DONALD GRAHAM, M.D. 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.

SPRINGFIELD CLINIC, LLP
SPRINGFIELD, IL

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

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to DONALD GRAHAM, M.D.. To verify DONALD GRAHAM, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

DONALD GRAHAM, M.D. — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 819 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.

819
Total Claims
$320K
Total Drug Cost
141
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,400
Total Day Supply
35,150
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$295K
Generic Drug Cost
$24K
Opioid Claims
25 (3.1% rate)
Antibiotic Claims
295

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.66
Gender Split
64% female / 36% male
Age Distribution
<65: 15, 65-74: 58, 75-84: 44, 85+: 24

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What DONALD GRAHAM, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Trimethoprim
49
Cephalexin
43
Atorvastatin Calcium
34
Furosemide
32
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
32
Doxycycline Monohydrate
31
Fluconazole
27
Genvoya
Elviteg/Cob/Emtri/Tenof Alafen
27
Allopurinol
24
Ciprofloxacin Hcl
24

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Infectious Disease Physician Overview

How DONALD GRAHAM, M.D. fits within the Infectious Disease Physician landscape nationally.

8,292
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider

DONALD GRAHAM, M.D.'s 819 claims are above the specialty average of 816.

Nearby Infectious Disease Physician Providers in Illinois

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

Compare Infectious Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DONALD GRAHAM, M.D.'s specialty?
DONALD GRAHAM, M.D. specializes in Infectious Disease Physician and practices in SPRINGFIELD, Illinois. Credentials: M.D..
How much does DONALD GRAHAM, M.D. prescribe under Medicare Part D?
In 2023, DONALD GRAHAM, M.D. wrote 819 Medicare Part D claims totaling $320K in drug costs for 141 beneficiaries.
Where is DONALD GRAHAM, M.D. located?
DONALD GRAHAM, M.D. is located at 301 N 8TH ST, SPRINGFIELD, IL, 62701. Phone: (217) 528-7541.
What is DONALD GRAHAM, M.D.'s NPI number?
DONALD GRAHAM, M.D.'s National Provider Identifier (NPI) is 1508962366, issued on 09/16/2006.
Does DONALD GRAHAM, M.D. prescribe more brand-name or generic drugs?
DONALD GRAHAM, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $295K in brand drug costs.
Does DONALD GRAHAM, M.D. prescribe opioids?
Yes, DONALD GRAHAM, M.D. had 25 opioid claims in 2023 with an opioid prescribing rate of 3.1%.
How many Infectious Disease Physician providers are there in the US?
There are 8,292 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 816 Medicare Part D claims per year.
What drugs does DONALD GRAHAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DONALD GRAHAM, M.D.'s most frequently prescribed drugs include Trimethoprim, Cephalexin, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DONALD GRAHAM, M.D. accept Medicare?
DONALD GRAHAM, M.D. appears in CMS Medicare data with 819 Part D claims and 141 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DONALD GRAHAM, M.D.'s credentials?
DONALD GRAHAM, M.D.'s NPI is 1508962366 with credentials M.D.. 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.
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