2026 NPPES data Family Medicine Physician NPI 1679864870 M.D.
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VERNISHIA HILL GRAHAM, M.D.

Family Medicine Physician in MONTGOMERY, Alabama. 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
10K
Medicare Part D claims · 705 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.435/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$1.7K
100 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

VERNISHIA HILL GRAHAM, M.D. reported a CMS MIPS final score of 95.435/100 — above the 83.1 national average — and filed 10,166 Medicare Part D claims in 2023.

95.435/100
MIPS score · +12 vs avg
10K
Part D claims, 2023
87%
generic prescribing
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.

VERNISHIA HILL 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

95 Top 21% higher than 79% 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)

VERNISHIA HILL 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 VERNISHIA HILL GRAHAM, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/22/2011

NPI 1679864870

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

10,166 197% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

95.435/100 12.335000000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Alabama

How Family Medicine Physician compares to other specialties among Alabama providers

Alabama providers

Family Medicine Physician share within Alabama

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Alabama

Medicare quality performance — MIPS

VERNISHIA HILL GRAHAM, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
95.435/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 95.435/100 vs national avg 83.1

0%100%National avg83%95.4%
MIPS final score (Family Medicine Physician) — 95.435/100 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).

VERNISHIA HILL GRAHAM, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 1855 HALCYON BLVD, MONTGOMERY, AL, 36117, with a listed phone of (334) 530-6387. NPI 1679864870 was issued on 04/22/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HILL 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 10,166 prescription claims written by this provider, covering 705 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.6%. 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 95.435/100 for the 2023 performance year (Quality 100, Cost 84.7834), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1855 HALCYON BLVD
MONTGOMERY, AL 36117

Provider Details

NPI 1679864870
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 04/22/2011

CMS Quality Score (MIPS)

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

95.435
Final Score
Avg: 83.1
100
Quality
84.7834
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where VERNISHIA HILL 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.

FAMILY CARE ASSOCIATES
MONTGOMERY, AL

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 VERNISHIA HILL GRAHAM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Brand vs generic prescribing mix · Typical

VERNISHIA HILL GRAHAM, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 10,166 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

10,166
Total Claims
$1.2M
Total Drug Cost
705
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,772
Total Day Supply
632,174
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$910K
Generic Drug Cost
$287K
Opioid Claims
166 (1.6% rate)
Antibiotic Claims
178

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.49
Gender Split
79% female / 21% male
Age Distribution
<65: 104, 65-74: 276, 75-84: 222, 85+: 103

Top Prescribed Drugs (Medicare Part D)

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

What VERNISHIA HILL 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
Amlodipine Besylate
566
Atorvastatin Calcium
411
Losartan Potassium
291
Pantoprazole Sodium
283
Pravastatin Sodium
276
Levothyroxine Sodium
275
Hydrochlorothiazide
234
Omeprazole
223
Carvedilol
207
Metformin Hcl
202

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

Family Medicine Physician Overview

How VERNISHIA HILL GRAHAM, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

VERNISHIA HILL GRAHAM, M.D.'s 10,166 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Alabama

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is VERNISHIA HILL GRAHAM, M.D.'s specialty?
VERNISHIA HILL GRAHAM, M.D. specializes in Family Medicine Physician and practices in MONTGOMERY, Alabama. Credentials: M.D..
How much does VERNISHIA HILL GRAHAM, M.D. prescribe under Medicare Part D?
In 2023, VERNISHIA HILL GRAHAM, M.D. wrote 10,166 Medicare Part D claims totaling $1.2M in drug costs for 705 beneficiaries.
What is VERNISHIA HILL GRAHAM, M.D.'s Medicare quality score?
VERNISHIA HILL GRAHAM, M.D. has a CMS MIPS Final Score of 95.435/100 (Quality: 100, Cost: 84.7834). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VERNISHIA HILL GRAHAM, M.D. located?
VERNISHIA HILL GRAHAM, M.D. is located at 1855 HALCYON BLVD, MONTGOMERY, AL, 36117. Phone: (334) 530-6387.
What is VERNISHIA HILL GRAHAM, M.D.'s NPI number?
VERNISHIA HILL GRAHAM, M.D.'s National Provider Identifier (NPI) is 1679864870, issued on 04/22/2011.
Does VERNISHIA HILL GRAHAM, M.D. prescribe more brand-name or generic drugs?
VERNISHIA HILL GRAHAM, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $910K in brand drug costs.
Does VERNISHIA HILL GRAHAM, M.D. prescribe opioids?
Yes, VERNISHIA HILL GRAHAM, M.D. had 166 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does VERNISHIA HILL GRAHAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, VERNISHIA HILL GRAHAM, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VERNISHIA HILL GRAHAM, M.D. accept Medicare?
VERNISHIA HILL GRAHAM, M.D. appears in CMS Medicare data with 10,166 Part D claims and 705 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VERNISHIA HILL GRAHAM, M.D.'s credentials?
VERNISHIA HILL GRAHAM, M.D.'s NPI is 1679864870 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

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