2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1578095295 DO
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JOSEPH GRAHAM, DO

Physical Medicine & Rehabilitation Physician in ELMHURST, 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
400
Medicare Part D claims · 161 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
MIPS score
91.3557/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

JOSEPH GRAHAM, DO reported a CMS MIPS final score of 91.3557/100 — above the 83.1 national average — and filed 400 Medicare Part D claims in 2023.

91.3557/100
MIPS score · +8 vs avg
400
Part D claims, 2023
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.

JOSEPH GRAHAM, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 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)

JOSEPH GRAHAM, DO 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 JOSEPH GRAHAM, DO?

High performer (top quartile)

NPI registry status

Active

Issued 03/31/2017

NPI 1578095295

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

400 49% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

91.3557/100 8.255700000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Physical Medicine & Rehabilitation Physician compares to other specialties among Illinois providers

Illinois providers

Physical Medicine & Rehabilitation Physician share within Illinois

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Illinois

Medicare quality performance — MIPS

JOSEPH GRAHAM, DO's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

High performer (top quartile)
MIPS Final Score
91.3557/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 91.3557/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 91.3557/100 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).

JOSEPH GRAHAM, DO appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding DO credentials at 1200 S YORK ST STE 3160, ELMHURST, IL, 60126, with a listed phone of (331) 221-9095. NPI 1578095295 was issued on 03/31/2017. 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 400 prescription claims written by this provider, covering 161 Medicare beneficiaries and totaling roughly $9K in drug spend, with an opioid prescribing rate of 15.5%. 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 91.3557/100 for the 2023 performance year (Quality 82.7114), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

1200 S YORK ST STE 3160
ELMHURST, IL 60126

Provider Details

NPI 1578095295
Specialty Physical Medicine & Rehabilitation Physician
Credentials DO
Gender Male
NPI Issued 03/31/2017

CMS Quality Score (MIPS)

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

91.3557
Final Score
Avg: 83.1
82.7114
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOSEPH GRAHAM, DO 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.

ENDEAVOR HEALTH MEDICAL GROUP
ELMHURST, 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 JOSEPH GRAHAM, DO. To verify JOSEPH GRAHAM, DO'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

400
Total Claims
$9K
Total Drug Cost
161
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
428
Total Day Supply
11,684
Generic Drug Cost
$9K
Opioid Claims
62 (15.5% rate)

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.27
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

What JOSEPH GRAHAM, DO 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
Gabapentin
164
Pregabalin
47
Cyclobenzaprine Hcl
38
Meloxicam
31
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
30
Tramadol Hcl
21
Duloxetine Hcl
12
Tizanidine Hcl
11

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

Physical Medicine & Rehabilitation Physician Overview

How JOSEPH GRAHAM, DO fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

JOSEPH GRAHAM, DO's 400 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Illinois

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH GRAHAM, DO's specialty?
JOSEPH GRAHAM, DO specializes in Physical Medicine & Rehabilitation Physician and practices in ELMHURST, Illinois. Credentials: DO.
How much does JOSEPH GRAHAM, DO prescribe under Medicare Part D?
In 2023, JOSEPH GRAHAM, DO wrote 400 Medicare Part D claims totaling $9K in drug costs for 161 beneficiaries.
What is JOSEPH GRAHAM, DO's Medicare quality score?
JOSEPH GRAHAM, DO has a CMS MIPS Final Score of 91.3557/100 (Quality: 82.7114). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH GRAHAM, DO located?
JOSEPH GRAHAM, DO is located at 1200 S YORK ST STE 3160, ELMHURST, IL, 60126. Phone: (331) 221-9095.
What is JOSEPH GRAHAM, DO's NPI number?
JOSEPH GRAHAM, DO's National Provider Identifier (NPI) is 1578095295, issued on 03/31/2017.
Does JOSEPH GRAHAM, DO prescribe opioids?
Yes, JOSEPH GRAHAM, DO had 62 opioid claims in 2023 with an opioid prescribing rate of 15.5%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does JOSEPH GRAHAM, DO prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH GRAHAM, DO's most frequently prescribed drugs include Gabapentin, Pregabalin, Cyclobenzaprine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH GRAHAM, DO accept Medicare?
JOSEPH GRAHAM, DO appears in CMS Medicare data with 400 Part D claims and 161 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH GRAHAM, DO's credentials?
JOSEPH GRAHAM, DO's NPI is 1578095295 with credentials DO. 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