Philip James Abraham, M.D.
Pulmonary Disease Physician · Springfield, IL
Philip James Abraham, M.D. is a pulmonary disease physician with a practice address in Springfield, Illinois, and NPI 1548375629, issued on Aug 20, 2006. Check the license (Illinois 036116505, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Philip James Abraham
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 036116505 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1025 S 6TH St, Springfield, IL 62703
- Phone
- (217) 528-7541
- Enumerated
- Aug 20, 2006
- Record last updated
- May 19, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicaid ID
- 03611605 IL
- Medicare enrollment
- Enrolled (PECOS I20061003000295); accepts Medicare assignment
- Medical or professional school
- Southern Illinois University School Of Medicine, 1999
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 617 in Illinois → Look up another NPI →
Also registered at 1025 S 6TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Arun Abraham, MDFamily Medicine Physician1508020546
- Jeffrey Adkins, CRNACertified Registered Nurse Anesthetist1992793954
- Deborah Albright, M.D.Internal Medicine Physician1639145360
- Stanley Allen, M.D.Internal Medicine Physician1285631127
- Jessica Alwerdt, PHYSICIAN ASSISTANTPhysician Assistant1669706057
- Audrey Anderson, CRNACertified Registered Nurse Anesthetist1386237659
Verify Philip James Abraham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036116505Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.8 times the Medicare Part D claims of the average pulmonary disease physician in 2024
5,406 Medicare Part D claims for 791 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 63% of claims.
Most prescribed
- Trelegy Ellipta1,084 claims
- Albuterol Sulfate Hfa936 claims
- Breo Ellipta542 claims
- Prednisone274 claims
- Fluticasone Propionate253 claims
- Montelukast Sodium249 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.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $118.58
8 payments; by number, the most common kind was food and beverage; the largest payer was Itamar Medical Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Springfield Clinic, LLPSpringfield, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Philip James Abraham among 617 pulmonary disease physician records in Illinois
Philip James Abraham, M.D. is one of 617 pulmonary disease physician records with a practice address in Illinois. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 54% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated1999 · median 2005 among the 444 with a school on file
- Record last updated2020 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Illinois
There are 617 pulmonary disease physician records in Illinois.
All 617 in Illinois → Every provider in Springfield → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Srinivasa Kakumani, MDSpringfield, IL 627031508988486
- Jessica Moja, M.D.Springfield, IL 627031407069073
- Samir Patel, M.D.Springfield, IL 627031811097595
- Jeremiah Reedy, M.D.Springfield, IL 627031295786952
- Gaurav Sangwan, M.D.Springfield, IL 627031083820757
- Omar Abdulfattah, MDSpringfield, IL 627021205259330
- Hayder Al Khafaji, MDSpringfield, IL 627021790360774
- Muath Alsharif, MDSpringfield, IL 627021316477508
Common questions
What is Philip James Abraham, M.D.'s NPI number?
Philip James Abraham, M.D.'s National Provider Identifier (NPI) is 1548375629, issued on Aug 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Philip James Abraham, M.D. located?
The NPPES record lists a practice address at 1025 S 6TH St, Springfield, IL, 62703. Phone: (217) 528-7541. Providers update this record themselves, so call before visiting.
How can I verify Philip James Abraham, M.D.'s license?
NPPES lists Illinois license number 036116505, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Philip James Abraham, M.D. prescribe under Medicare Part D?
In 2024, Philip James Abraham, M.D. had 5,406 Medicare Part D claims for 791 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Philip James Abraham, M.D.'s MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
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.