MARK W GRAVES MD
NPI 1285702308
Internal Medicine in Springfield, IL
NPI Status: Active since November 30, 2006
Contact Information
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000
- Individual
- Male
- Years of Experience 44
- Internal Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARK GRAVES
This page provides the complete NPI Profile along with additional information for Mark Graves, an internist established in Springfield, Illinois with a medical specialization in Internal Medicine and more than 44 years of experience. The healthcare provider is registered in the NPI registry with number 1285702308 assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number 036-145917 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1285702308
- Provider Name
- MARK W GRAVES MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702
- Location Phone
- (217) 545-8000
- Mailing Address
- 201 E MADISON ST STE 328 SPRINGFIELD, IL 62702
- Mailing Phone
- (217) 545-8000
- Medical School Name
- OTHER
- Graduation Year
- 1982
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-30-2006
- Last Update Date
- 12-10-2021
- Code Navigator
An internist like Mark Graves is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 1600 E Clear Lake Ave Ste 120
Springfield, IL 62703
(217) 545-8000 - 421 Chestnut St
Evansville, IN 47713
(812) 426-9372
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-145917
- License State
- IL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 01043637A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
000000277884 | OTHER (01) | IL | ANTHEM NUC MED ID |
000000109382 | OTHER (01) | IN | ANTHEM IM IDENTIFICATION |
200043550 | MEDICAID (05) | IN | |
64878861 | OTHER (01) | KY | KY MEDICAID |
Medicare Participation & PECOS Enrollment Status
Mark Graves is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mark Graves is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3870668874
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20200228001722
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
5 DME suppliers used 11 Medicare Claims 28 Services Paid
Orthotic Devices
DME-Orthotic Devices (DF000N)
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each (HCPCS:A4357)
1 DME suppliers used 11 Medicare Claims 22 Services Paid
DME-Orthotic Devices (DF000N)
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each (HCPCS:A4358)
1 DME suppliers used 11 Medicare Claims 22 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each (HCPCS:A4425)
1 DME suppliers used 11 Medicare Claims 220 Services Paid
Drugs Administered Through DME
DME-Drugs Administered Through DME (DG006N)
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)
4 DME suppliers used 12 Medicare Claims 1367 Services Paid
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.86 for a new patient copayment and $24.31 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 62702 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.46
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $31.86
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Graves is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
MEMORIAL MEDICAL CENTER | 701 N FIRST ST SPRINGFIELD, IL 62702 | (217) 788-3000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 8 | 5 | 7 | 0 | 2 | 3 | 0 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 14 | 0 | 4 | 3 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 6 + 5 + 1 + 4 + 0 + 4 + 3 + 0 + 24 = 52 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 52 = 8 | 8 |
The NPI number 1285702308 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1407966690 | ROBERT S. GLICKENBERGER MD Individual | Internal Medicine (Gastroenterology) | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1043408313 | STACY RENEE LEE LCSW Individual | Social Worker (Clinical) | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1467858514 | JENNIFER L RIMAR NP Individual | Nurse Practitioner (Family) | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1033642509 | ABDUL MONEM SWIED MD Individual | Internal Medicine (Gastroenterology) | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1285110213 | NEVIN I CORCORAN Individual | Nurse Practitioner (Family) | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1922596568 | HANNAH J. BETTIS AGPCNP-BC Individual | Nurse Practitioner (Primary Care) | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1669983789 | ELIZABETH LAUREN STUART NP-C Individual | Nurse Practitioner (Family) | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1346777026 | NITIN TANDAN Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1417440710 | DR. ASAD MUSTAFA CHEEMA MD Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1801322136 | SIDRA ILYAS M.D. Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1033778717 | ELIZABETH TATUM MD Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1548754542 | SUHAYB S RANJHA MD Individual | Internal Medicine (Critical Care Medicine) | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1124013636 | DR. ZAFAR QUADER M.D. Individual | Internal Medicine (Gastroenterology) | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1972910172 | DR. JACOB VARNEY M.D. Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1407478431 | AMAN SWIED MD Individual | Hospitalist | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1174934269 | CHARLYN K WARE MS RD LDN Individual | Dietitian, Registered | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1336374297 | JOHN JUNHAENG LEE M.D. Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1023682648 | NITIN SAINI MD Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1376102285 | THARANI SUNDARARAJAN MD Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
1205454691 | DR. MULHAM ALOM MD Individual | Internal Medicine | 751 N RUTLEDGE ST STE 1100 SPRINGFIELD, IL 62702 (217) 545-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285702308, enumerated in the NPI registry as an "individual" on November 30, 2006
The provider is located at 751 N Rutledge St Ste 1100 Springfield, Il 62702 and the phone number is (217) 545-8000
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 44 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $127.46 with an average copayment of $31.86 for new patient appointments. Established patients should expect a typical charge of $97.25 and an average copayment of 24.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): MEMORIAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on November 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.