NPPES file of Aug 9, 2026

John Edward Graham, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Saint Louis, MO

John Edward Graham, MD is a pediatric emergency medicine (pediatrics) physician with a practice address in Saint Louis, Missouri, and NPI 1568704930, issued on Mar 22, 2013. Check the license (Missouri 2016027209, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1568704930
Name
John Edward Graham
Credential
MD
Primary taxonomy
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X
License numbers
2016027209 MO
04-49064 KS
Self-reported in NPPES; status is on the state search
Practice location
1 Childrens PL, Saint Louis, MO 63110
Phone
(314) 454-2341
Enumerated
Mar 22, 2013
Record last updated
Nov 25, 2025
Fax
(314) 454-4345
Medicaid ID
200034313 MO
Medicare enrollment
Enrolled (PECOS I20210910000675); accepts Medicare assignment
Medical or professional school
University Of Missouri, Kansas City, School Of Medicine, 2013
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1 Childrens PL

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mohamed Abdelbaki, MDPediatric Hematology & Oncology Physician1508021361
  2. Christi Abeln, PNPPediatric Nurse Practitioner1023034253
  3. Loren Abernathy, PNPPediatric Nurse Practitioner1215583117
  4. Freddy-May Abisamra, CGCGenetic Counselor (M.S.)1306538111
  5. Manjusha Abraham, MDPediatric Critical Care Medicine Physician1508126699
  6. Philip Abraham, MDHospitalist Physician1720309016

Verify John Edward Graham in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
    Search for license 2016027209
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 79.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score71.5
  2. Costout of 100 · 30%59.5
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. The Childrens Mercy HospitalKansas City, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

John Edward Graham among 120 pediatric emergency medicine (pediatrics) physician records in Missouri

John Edward Graham, MD is one of 120 pediatric emergency medicine (pediatrics) physician records with a practice address in Missouri. 38% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 58% of them.

  • NPI issued2013 · 58% of these records are older, 37% newer
  • In a Medicare fileYes · 38% of these records are
  • In the CMS Doctors and Clinicians fileYes · 30% of these records are
  • Graduated2013 · median 2015 among the 36 with a school on file
  • Record last updated2025 · 33% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0204X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Emergency Medicine (Pediatrics) Physician providers in Missouri

There are 120 pediatric emergency medicine (pediatrics) physician records in Missouri.

The 8 pediatric emergency medicine (pediatrics) physician records with the nearest ZIP codes

  1. Tara Copper, MDSaint Louis, MO 631101417261967
  2. Joseph Gunn, MDSaint Louis, MO 631101982621488
  3. Kara Hennelly, MDSaint Louis, MO 631101528261344
  4. Dee Hodge, MDSaint Louis, MO 631101376561837
  5. David Jaffe, MDSaint Louis, MO 631101467470922
  6. Robert Kennedy, MDSaint Louis, MO 631101992723449
  7. Rachel Kowalsky, MDSaint Louis, MO 631101104038652
  8. Kathryn Leonard, MDSaint Louis, MO 631101508179383

Common questions

What is John Edward Graham, MD's NPI number?

John Edward Graham, MD's National Provider Identifier (NPI) is 1568704930, issued on Mar 22, 2013. An NPI identifies a provider in billing; it is not a license.

Where is John Edward Graham, MD located?

The NPPES record lists a practice address at 1 Childrens PL, Saint Louis, MO, 63110. Phone: (314) 454-2341. Providers update this record themselves, so call before visiting.

How can I verify John Edward Graham, MD's license?

NPPES lists Missouri license number 2016027209, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is John Edward Graham, MD's MIPS final score?

The 2023 MIPS final score is 79.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.