Thomas Reagan Graffagnino, FNP-C
Nurse Practitioner · Livingston, TX
Thomas Reagan Graffagnino, FNP-C is a nurse practitioner with a practice address in Livingston, Texas, and NPI 1134604457, issued on Oct 2, 2018. Check the license (Texas AP139031, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Thomas Reagan Graffagnino
- Credential
- FNP-C
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License number
- AP139031 TX
Self-reported in NPPES; status is on the state search - Practice location
- 1501 W Church St Ste 800, Livingston, TX 77351
- Phone
- (936) 327-0191
- Enumerated
- Oct 2, 2018
- Record last updated
- Sep 28, 2024
- Medicare enrollment
- Enrolled (PECOS I20181128000179); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 1501 W Church St Ste 800
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Melissa Abbott, NPNurse Practitioner1316338874
- Amber ComstockFamily Nurse Practitioner1538924956
Verify Thomas Reagan Graffagnino in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license AP139031Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
79% fewer Medicare Part D claims than the average nurse practitioner in 2024
237 Medicare Part D claims for 138 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D.
Most prescribed
- Cephalexin28 claims
- Azithromycin25 claims
- Fluticasone Propionate23 claims
- Mupirocin18 claims
- Prednisone16 claims
- Albuterol Sulfate Hfa15 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): 55.7 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Elite Hospital Partners, PLLCPort Arthur, TX
- Emrd Ventures, PLLCLivingston, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
8 nurse practitioner records list a practice address in Livingston
They are 8 of the 307 NPPES records with a practice address in Livingston, and 4,825 nurse practitioner records in Texas.
All 8 in Livingston → All 4,825 in Texas → Every provider in Livingston →
Other nurse practitioner records in Texas
- Estella Abam, APRN-CHouston, TX1669779773
- Gillian AbangKilleen, TX1861974487
- Cornelia Abanobi, NPTomball, TX1831889005
- Breana Abbott, APRNMagnolia, TX1053873661
- Melissa Abbott, NPLivingston, TX1316338874
- Malika Abdelfettah, A/G NPGarland, TX1902259815
- Muntaha Abdelhadi, R.N., C.P.N.P.Dallas, TX1326503095
- Irene Abdo, FNP-C, APRN, CNORDallas, TX1679168405
- Mihoko Abegunde, NPDallas, TX1730632282
- Guelbert Abellana, N.P.Houston, TX1457605156
Common questions
What is Thomas Reagan Graffagnino, FNP-C's NPI number?
Thomas Reagan Graffagnino, FNP-C's National Provider Identifier (NPI) is 1134604457, issued on Oct 2, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Thomas Reagan Graffagnino, FNP-C located?
The NPPES record lists a practice address at 1501 W Church St Ste 800, Livingston, TX, 77351. Phone: (936) 327-0191. Providers update this record themselves, so call before visiting.
How can I verify Thomas Reagan Graffagnino, FNP-C's license?
NPPES lists Texas license number AP139031, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
How much does Thomas Reagan Graffagnino, FNP-C prescribe under Medicare Part D?
In 2024, Thomas Reagan Graffagnino, FNP-C had 237 Medicare Part D claims for 138 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.
What is Thomas Reagan Graffagnino, FNP-C's MIPS final score?
The 2023 MIPS final score is 55.7 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.