NPPES file of Aug 9, 2026

Lori M. Grafton, M.D.

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician · Hummelstown, PA

Lori M. Grafton, M.D. is a brain injury medicine (physical medicine & rehabilitation) physician with a practice address in Hummelstown, Pennsylvania, and NPI 1144363755, issued on Feb 14, 2007. Check the license (Pennsylvania MD427408, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1144363755
Name
Lori M. Grafton
Credential
M.D.
Primary taxonomy
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X
License numbers
MD427408 PA
P17893 MD
2007-00403 NC
Self-reported in NPPES; status is on the state search
Practice location
1135 Olde W Chocolate Ave, Hummelstown, PA 17036
Phone
(717) 531-7010
Enumerated
Feb 14, 2007
Record last updated
Apr 6, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(717) 531-7102
Medicaid IDs
5906924 NC
1144363755 NC
N03007 SC
Medicare enrollment
Enrolled (PECOS I20160120000522); accepts Medicare assignment
Medical or professional school
University Of Rochester School Of Medicine And Dentistry, 2003
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 1135 Olde W Chocolate Ave

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

  1. Olajumoke Alex JimohPhysical Therapist1952265522
  2. Emily Beahan, DPTPhysical Therapist1922424910
  3. Kelsey Browning, OTR/LOccupational Therapist1306415393
  4. Erin Byler, MS, CCC-SLPSpeech-Language Pathologist1396163200
  5. Emily Carrier, MS, OTR/LOccupational Therapist1629498019
  6. Sophia Chas, M.S.Speech-Language Pathologist1700766177

Verify Lori M. Grafton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD427408
    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 Pennsylvania license search

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26% fewer Medicare Part D claims than the average brain injury medicine (physical medicine & rehabilitation) physician in 2024

357 Medicare Part D claims for 45 beneficiaries, against an average of 485 among the 66 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Lori Grafton357
  2. Specialty average485

Most prescribed

  1. Trazodone Hcl37 claims
  2. Sertraline Hcl27 claims
  3. Fluoxetine Hcl22 claims
  4. Donepezil Hcl19 claims
  5. Quetiapine Fumarate18 claims
  6. Gabapentin17 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 71.8 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 score48.3
  2. Costout of 100 · 30%57.6
  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).

Industry payments in 2024: $15.26

1 payment: food and beverage; the largest payer was Coloplast Corp. The 42 providers of this specialty with any payment received $6,338.66 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Lori Grafton$15.26
  2. Specialty average$6,338.66

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. The Milton S Hershey Medical Center Physicians GroupHummelstown, PA

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

Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician providers in Pennsylvania

There are 6 brain injury medicine (physical medicine & rehabilitation) physician records in Pennsylvania.

The 5 brain injury medicine (physical medicine & rehabilitation) physician records with the nearest ZIP codes

  1. Christian Lopez Aponte, MDHummelstown, PA 170361104373505
  2. Kacper Pierwola, MDLancaster, PA 176011831542885
  3. Leanna GilletteAllentown, PA 181011265008197
  4. Kevin Franzese, DOPittsburgh, PA 152191568872869
  5. Briget Hyde, MDPittsburgh, PA 152131326779125

Common questions

What is Lori M. Grafton, M.D.'s NPI number?

Lori M. Grafton, M.D.'s National Provider Identifier (NPI) is 1144363755, issued on Feb 14, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Lori M. Grafton, M.D. located?

The NPPES record lists a practice address at 1135 Olde W Chocolate Ave, Hummelstown, PA, 17036. Phone: (717) 531-7010. Providers update this record themselves, so call before visiting.

How can I verify Lori M. Grafton, M.D.'s license?

NPPES lists Pennsylvania license number MD427408, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Lori M. Grafton, M.D. prescribe under Medicare Part D?

In 2024, Lori M. Grafton, M.D. had 357 Medicare Part D claims for 45 beneficiaries; the average among brain injury medicine (physical medicine & rehabilitation) physician prescribers was 485. Part D covers Medicare prescriptions only.

What is Lori M. Grafton, M.D.'s MIPS final score?

The 2023 MIPS final score is 71.8 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.