NPI registry status
Active
2026 NPPES data Psychiatry Physician NPI 1265723407 MD
Verify on CMS → Ernest Graypel, MD
Psychiatry Physician in St Louis, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 54,383 in Psychiatry Physician, 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.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 235 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.1/100
▲ 9 pts above national avg 83.5 · Exceptional
Industry payments
$2.0K
96 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ernest Graypel, MD reported a CMS MIPS final score of 92.1/100 - above the 83.5 national average - and filed 1,933 Medicare Part D claims in 2024.
- 92.1/100
- MIPS score · +9 vs avg
- 2K
- Part D claims, 2024
- 96%
- 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.
Federal trust snapshot
What official records show about Ernest Graypel, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1265723407), first enumerated 04/21/2011.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,933 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 92.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$2.0K in reported industry payments (96 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1265723407 · Psychiatry Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ABOVE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1265723407
- ENUM-MID 2011
- TAX-MEGA 54K Psychiatry Physician
- MIPS-ABOVE 92.1/100
- RX-MID 1,933
- BOOK-LIGHT 924 in Missouri
- PHOTO-FINISH Mallory Jacobs, MD · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Graypel · this p…
Graypel · this provider
92.1 MIPS pts
- Robert Grillo, M…
Robert Grillo, M.D.
92.2 MIPS pts
- Mallory Jacobs, …
Mallory Jacobs, MD
92.2 MIPS pts
- Max Kinnaman, D.…
Max Kinnaman, D.O.
92.2 MIPS pts
- Mrinal Mullick, …
Mrinal Mullick, M.D.
92.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ernest Graypel, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
92 ≥ 66th percentile 66% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Ernest Graypel, MD sits
This provider among psychiatry physician peers
Across the 4,541 psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ernest Graypel, MD writes more Part D claims than 79% of them and scores higher on MIPS quality than 67% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one psychiatry physician peer from a representative sample of 60; the gold marker is Ernest Graypel, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ernest Graypel, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Ernest Graypel, MD?
High performer (top quartile)Primary specialty
Psychiatry Physician
Medicare Part D claims
1,933 91% vs specialty avg
MIPS final score
92.1/100 8.6 pts vs avg
Specialty distribution in Missouri
How Psychiatry Physician compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Ernest Graypel, MD's 2023 MIPS final score plotted against the Psychiatry Physician national average
- MIPS Final Score
- 92.1/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1265723407 |
|---|---|
| Specialty | Psychiatry Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/21/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
92.1158
Final Score
Measured-score avg: 83.5
58.5772
Quality
83.9903
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Ernest Graypel, 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.
Community And Long-Term Care Psychiatry LLC
Saint Louis, MO
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 Ernest Graypel, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.0K
Largest payer
ABBVIE 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 · Generic-heavy
Ernest Graypel, MD - brand share 4.0%
Psychiatry Physician average
4% brand-name claims vs 96% generic, on 1,933 2024 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 2024.
1,933
Total Claims
$148K
Total Drug Cost
235
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,123.167
- Total Day Supply
- 56,975
- Brand vs Generic
- 4% brand / 96% generic
- Brand Drug Cost
- $95K
- Generic Drug Cost
- $53K
Patient Demographics
- Average Patient Age
- 67.1 years
- Avg HCC Risk Score
- 1.84
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 78, 65-74: 89, 75-84: 48, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Ernest Graypel, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Clonazepam
Clonazepam
371 claims
- Sertraline Hcl
Sertraline Hcl
232 claims
- Dextroamphetamine-…
Dextroamphetamine-Amphetamine
170 claims
- Dextroamphetamine-…
Dextroamphetamine-Amphet Er
150 claims
- Mirtazapine 85
Mirtazapine
85 claims
- Methylphenidate Hcl 68
Methylphenidate Hcl
68 claims
- Trazodone Hcl 63
Trazodone Hcl
63 claims
- Quetiapine Fumarate 48
Quetiapine Fumarate
48 claims
| Drug | Claims |
|---|---|
| Clonazepam | 371 |
| Sertraline Hcl | 232 |
| Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine | 170 |
| Dextroamphetamine-Amphet Er Dextroamphetamine/Amphetamine | 150 |
| Mirtazapine | 85 |
| Methylphenidate Hcl | 68 |
| Trazodone Hcl | 63 |
| Quetiapine Fumarate | 48 |
| Methylphenidate Er Methylphenidate Hcl | 47 |
| Lorazepam | 45 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Psychiatry Physician Overview
How Ernest Graypel, MD fits within the Psychiatry Physician landscape nationally.
54,383
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,010
Avg Claims per Provider
Ernest Graypel, MD's 1,933 claims are above the specialty average of 1,010.
Nationwide Psychiatry Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Graypel, both outside Missouri so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (92.1 here).
Same NPPES enumeration year (2011)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Psychiatry Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Graypel.
One of 924 Psychiatry Physician providers enrolled in Missouri, 5 are shown here.
Dr. Elham Abbas
M.D.
Raymore, MO
Dr. Mehamed Abdi
MD
Columbia, MO
Dr. Nawfel Abdulameer
MD
Kansas City, MO
Dr. Ahmed Abdulkadir
MD
Columbia, MO
Dr. Lachman Abichandani
M.D.
St Louis, MO
Compare Psychiatry Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ernest Graypel, MD's specialty? ▼
Ernest Graypel, MD specializes in Psychiatry Physician and practices in St Louis, Missouri. Credentials: MD.
How much does Ernest Graypel, MD prescribe under Medicare Part D? ▼
In 2024, Ernest Graypel, MD wrote 1,933 Medicare Part D claims totaling $148K in drug costs for 235 beneficiaries.
What is Ernest Graypel, MD's Medicare quality score? ▼
Ernest Graypel, MD has a CMS MIPS Final Score of 92.1/100 (Quality: 58.6, Cost: 84). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ernest Graypel, MD located? ▼
Ernest Graypel, MD is located at 10004 KENNERLY ROAD, St Louis, MO, 63128. Phone: (314) 525-5050.
What is Ernest Graypel, MD's NPI number? ▼
Ernest Graypel, MD's National Provider Identifier (NPI) is 1265723407, issued on 04/21/2011.
Does Ernest Graypel, MD prescribe more brand-name or generic drugs? ▼
Ernest Graypel, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $95K in brand drug costs.
How many Psychiatry Physician providers are there in the US? ▼
There are 54,383 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,010 Medicare Part D claims per year.
What drugs does Ernest Graypel, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Ernest Graypel, MD's most frequently prescribed drugs include Clonazepam, Sertraline Hcl, Dextroamphetamine-Amphetamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ernest Graypel, MD accept Medicare? ▼
Ernest Graypel, MD appears in CMS Medicare data with 1,933 Part D claims and 235 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ernest Graypel, MD's credentials? ▼
Ernest Graypel, MD's NPI is 1265723407 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.