Active NPI 1508962366 Individual Practitioner Male Practitioner

Dr. Donald R. Graham , MD

Internal Medicine • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donald Graham, MD is a certified Internal Medicine practicing in Springfield, IL. With approximately 52 years of clinical experience since graduating from Washington University School Of Medicine in 1974, Dr. Graham delivers high-quality medical care to the local community at 301 N 8TH ST.

Dr. Graham is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 N 8th St

Springfield, IL 627011041

Telephone 2175287541

Associated Practice Facility / Clinic

🏢 Pavilion Pharmacy Llc Facility NPI 1851362230

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1974

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

52 Yrs +32.9 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

206 Specialists

Practicing in Springfield, IL (7544 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graham (52 Years) 52 Yrs

Springfield Specialty Average (19.1 Years) 19.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	190	83	$811.53	$169.68
36415 Insertion of needle into vein for collection of blood sample	160	72	$8.78	$8.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	62	$583.40	$122.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	14	$52.31	$13.75
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	35	26	$49.17	$16.27
G0008 Administration of influenza virus vaccine	33	33	$117.00	$31.15
90653 Vaccine for influenza for injection into muscle	31	31	$104.90	$80.51
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$514.41	$280.58
G0009 Administration of pneumococcal vaccine	26	26	$117.00	$31.15
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	17	12	$41.59	$32.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$1016.64	$201.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	170	84	$779.00	$174.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	55	$555.00	$123.41
J3260 Injection, tobramycin sulfate, up to 80 mg	76	12	$23.00	$2.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	15	$50.00	$13.56
G0008 Administration of influenza virus vaccine	50	50	$117.00	$29.66
G0009 Administration of pneumococcal vaccine	46	46	$117.00	$29.66
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	46	46	$125.00	$75.57
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	40	40	$497.00	$282.41
36415 Insertion of needle into vein for collection of blood sample	28	15	$6.00	$5.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	76	$497.65	$125.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	141	69	$695.98	$178.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	12	$48.95	$13.91
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	47	47	$125.00	$68.67
G0008 Administration of influenza virus vaccine	46	46	$106.48	$28.00
36415 Insertion of needle into vein for collection of blood sample	29	13	$6.00	$2.95
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	23	14	$141.78	$32.80
G0009 Administration of pneumococcal vaccine	18	18	$107.83	$28.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	78	$461.00	$124.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	93	60	$646.00	$179.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	14	$48.00	$13.79
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	39	39	$125.00	$66.43
G0008 Administration of influenza virus vaccine	39	39	$106.00	$16.21
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	26	25	$96.00	$20.40
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	23	23	$139.30	$29.25
G0009 Administration of pneumococcal vaccine	22	22	$106.00	$16.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$615.00	$166.59
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$183.00	$125.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	113	$427.00	$106.23
J0696 Injection, ceftriaxone sodium, per 250 mg	144	13	$36.00	$0.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	26	$48.00	$13.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	54	$646.00	$140.64
J3260 Injection, tobramycin sulfate, up to 80 mg	60	14	$23.00	$3.44
G0008 Administration of influenza virus vaccine	49	49	$56.88	$16.16
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	45	45	$97.29	$59.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$784.00	$206.59
G0009 Administration of pneumococcal vaccine	24	23	$54.13	$16.06
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$183.00	$118.45
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$294.00	$74.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$570.00	$164.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	116	$156.41	$102.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	106	25	$21.79	$15.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	59	$244.88	$137.86
J3260 Injection, tobramycin sulfate, up to 80 mg	69	15	$6.07	$3.02
G0008 Administration of influenza virus vaccine	56	56	$23.48	$15.85
90662 Influenza vaccine split virus, preservative free	42	42	$63.66	$53.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$339.68	$204.42
G0009 Administration of pneumococcal vaccine	25	25	$23.33	$15.85
36415 Insertion of needle into vein for collection of blood sample	24	15	$3.13	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	14	$123.80	$67.39
86580 Skin test for tuberculosis	22	22	$15.89	$8.03
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$131.80	$105.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	323	114	$118.94	$102.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	182	28	$21.51	$19.47
J0696 Injection, ceftriaxone sodium, per 250 mg	176	12	$0.66	$0.60
J3260 Injection, tobramycin sulfate, up to 80 mg	161	18	$3.52	$3.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	72	$157.51	$140.09
G0008 Administration of influenza virus vaccine	68	68	$23.49	$19.39
90662 Influenza vaccine split virus, preservative free	57	57	$56.32	$51.38
36415 Insertion of needle into vein for collection of blood sample	46	22	$3.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	41	22	$80.74	$69.46
G0009 Administration of pneumococcal vaccine	27	27	$23.10	$19.39
86580 Skin test for tuberculosis	22	21	$8.42	$7.60
90471 Administration of 1 vaccine	18	17	$23.09	$16.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$241.50	$190.70
90670 Pneumococcal vaccine for injection into muscle	14	14	$218.34	$195.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$125.73	$98.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	120	$119.66	$101.15
J0696 Injection, ceftriaxone sodium, per 250 mg	251	16	$0.71	$0.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	197	32	$27.34	$22.08
J3260 Injection, tobramycin sulfate, up to 80 mg	196	23	$4.81	$2.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	86	58	$158.00	$138.99
G0008 Administration of influenza virus vaccine	68	67	$23.49	$23.02
99213 Established patient office or other outpatient visit, typically 15 minutes	54	35	$81.15	$69.42
90662 Influenza vaccine split virus, preservative free	52	52	$53.99	$47.13
36415 Insertion of needle into vein for collection of blood sample	43	20	$3.00	$2.88
G0009 Administration of pneumococcal vaccine	31	31	$22.70	$22.25
86580 Skin test for tuberculosis	22	21	$8.37	$7.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$223.22	$201.47
90471 Administration of 1 vaccine	19	13	$26.56	$21.57
90670 Pneumococcal vaccine for injection into muscle	18	18	$215.19	$178.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$105.95	$95.00

Medical Specialties & State Licenses

CMS Verified: 2025-02-03

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036060578

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Infectious Disease

NUCC Taxonomy Code: 207RI0200X

State License IL 036-060578

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036060578 (IL)

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

1025 S 6th St, Springfield, IL 627032403

Phone: 2175287541

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864

Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546

Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

Barbara Wolfson , LCPC

Counselor

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2011

Registered at 301 N 8TH ST, SPRINGFIELD, IL 627011041 (Tel: 2175287541)

📍

Updated Business Mailing Address April 28, 2011

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤

Provider Name / Credentials Updated April 28, 2011

Recorded as DONALD GRAHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2011

Internal Medicine (License #036-060578 in IL)

🟢

Initial NPI Registration & Enumeration September 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508962366

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 16, 2006

Last Update: February 03, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.