2026 NPPES data Urology Physician NPI 1225092794 M.D.
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Richard Graham, M.D.

Urology Physician in White River Junction, Vermont.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,350 in Urology 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
473
Medicare Part D claims · 207 beneficiaries · Urology Physician avg: 1K
MIPS score
89.7/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$161.45
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Richard Graham, M.D. reported a CMS MIPS final score of 89.7/100 - above the 83.1 national average - and filed 473 Medicare Part D claims in 2023.

89.7/100
MIPS score · +7 vs avg
473
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.

Richard Graham, M.D.'s MIPS score vs every scored U.S. clinician

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

90 Top 42% higher than 58% 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%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. 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

Where Richard Graham, M.D. sits

This provider among urology physician peers

Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Graham, M.D. writes more Part D claims than 21% of them and scores higher on MIPS quality than 58% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 87Richard Graham, M.D.-Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 58
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urology physician peer from a representative sample of 60; the gold marker is Richard Graham, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Richard Graham, M.D. 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 Richard Graham, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/13/2006

NPI 1225092794

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

473 63% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

89.7/100 6.6 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Vermont

How Urology Physician compares to other specialties among Vermont providers

Vermont providers
Mental Health Counselor - 9.5%Mental Health Counselor9.5%Clinical Social Worker - 7.8%Clinical Social Worker7.8%Physical Therapist - 5.6%Physical Therapist5.6%Student in an Organized Health Care Education/Training Program - 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist - 3.8%Pharmacist3.8%Family Medicine Physician - 2.8%Family Medicine Physician2.8%Urology Physician - 0.3%Urology Physician0.3%
Largest specialties in Vermont (% of in-state providers)

Medicare quality performance, MIPS

Richard Graham, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
89.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) - 89.7/100 vs national avg 83.1

0%100%National avg83%89.7%
MIPS final score (Urology Physician) - 89.7/100 vs national avg 83.1
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).

Richard Graham, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 108 N MAIN ST, White River Junction, VT, 05001, with a listed phone of (802) 296-7370. NPI 1225092794 was issued on 04/13/2006.

Medicare Part D records for calendar year 2023 show 473 prescription claims written by this provider, covering 207 Medicare beneficiaries and totaling roughly $75K in drug spend, with an opioid prescribing rate of 8.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.7/100 for the 2023 performance year (Quality 75.3, Cost 91.4), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

108 N MAIN ST
White River Junction, VT 05001

Provider Details

NPI 1225092794
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 04/13/2006

CMS Quality Score (MIPS)

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

89.747
Final Score
Avg: 83.1
75.2715
Quality
91.385
Cost
99
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Richard Graham, M.D. 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.

Bon Secours Medical Group Richmond Specialty Care LLC
Richmond, VA

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 Richard Graham, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$161

Largest payer

Boston Scientific Corporation

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.

Medicare Part D Prescribing Data

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

473
Total Claims
$75K
Total Drug Cost
207
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
638
Total Day Supply
13,555
Generic Drug Cost
$11K
Opioid Claims
40 (8.5% rate)
Antibiotic Claims
181

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.67
Gender Split
35% female / 65% male
Age Distribution
<65: 34, 65-74: 90, 75-84: 65, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What Richard Graham, M.D. 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
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
72
Ciprofloxacin Hcl
56
Oxybutynin Chloride Er
Oxybutynin Chloride
42
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
39
Tamsulosin Hcl
30
Methenamine Hippurate
26
Estradiol
24
Doxycycline Hyclate
16
Alfuzosin Hcl Er
Alfuzosin Hcl
13
Levofloxacin
13

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

Urology Physician Overview

How Richard Graham, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

Richard Graham, M.D.'s 473 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Vermont

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

Compare Urology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Vermont medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Urology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Richard Graham, M.D.'s specialty?
Richard Graham, M.D. specializes in Urology Physician and practices in White River Junction, Vermont. Credentials: M.D..
How much does Richard Graham, M.D. prescribe under Medicare Part D?
In 2023, Richard Graham, M.D. wrote 473 Medicare Part D claims totaling $75K in drug costs for 207 beneficiaries.
What is Richard Graham, M.D.'s Medicare quality score?
Richard Graham, M.D. has a CMS MIPS Final Score of 89.7/100 (Quality: 75.3, Cost: 91.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Graham, M.D. located?
Richard Graham, M.D. is located at 108 N MAIN ST, White River Junction, VT, 05001. Phone: (802) 296-7370.
What is Richard Graham, M.D.'s NPI number?
Richard Graham, M.D.'s National Provider Identifier (NPI) is 1225092794, issued on 04/13/2006.
Does Richard Graham, M.D. prescribe opioids?
Yes, Richard Graham, M.D. had 40 opioid claims in 2023 with an opioid prescribing rate of 8.5%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Richard Graham, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Richard Graham, M.D.'s most frequently prescribed drugs include Sulfamethoxazole-Trimethoprim, Ciprofloxacin Hcl, Oxybutynin Chloride Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Graham, M.D. accept Medicare?
Richard Graham, M.D. appears in CMS Medicare data with 473 Part D claims and 207 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Graham, M.D.'s credentials?
Richard Graham, M.D.'s NPI is 1225092794 with credentials M.D.. 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 (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

Compiled from official public sources by the PlainDoctor editorial team.