LOUIS KIENZLER GRAHAM (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1699039404

LOUIS KIENZLER GRAHAM (M.D.) is a healthcare provider. based in Springfield, Illinois. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 036-142743 (IL). The NPI Number for LOUIS KIENZLER GRAHAM (M.D.) is 1699039404

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
LOUIS KIENZLER GRAHAM (M.D.)
NPI
1699039404
Phone
(217) 545-8000
Address
751 N RUTLEDGE ST
Enumeration Date
26 June 2012
Last Update Date
23 October 2020

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2175458000
Graduation Year
2012 (14 years ago)
PAC ID
6305071507
Group Practice PAC ID
2365352820
Professional Enrollment ID
I20170808000191
Address ID
IL627024968SP751XXSTXX400

Contacts

Secure Messaging
louisgraham@siusm.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

596 PHYSICAL MEDICINE AND REHABILITATION in IL

Provider Addresses for LOUIS KIENZLER GRAHAM (M.D.)

  • 751 N RUTLEDGE ST

    PO BOX 19643

    SPRINGFIELD, IL 627024968

    Phone: (217) 545-8000

    Fax: (217) 545-7393

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2023-09-07 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($64).

Total Amount

$170

General + Research + Ownership

Payments

3

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170808000191IPhysical Medicine And RehabilitationILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes37770$0
99213Established patient office or other outpatient visit, 20-29 minutes14596$0
62323Injection of substance into lower spine canal using imaging guidance12089$0
99214Established patient office or other outpatient visit, 30-39 minutes6349$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 62702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365352820View full group profile
NameSpecialtyState
Internal MedicineIL
Physician AssistantIL
Pulmonary DiseaseIL
D E R M A T O L O G YIL
-IL
E N D O C R I N O L O G YIL
Physician AssistantIL
General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What NPI should I save for LOUIS KIENZLER GRAHAM (M.D.)?
Save NPI 1699039404 if you need a stable reference for LOUIS KIENZLER GRAHAM (M.D.).
Does this profile mean LOUIS KIENZLER GRAHAM (M.D.) is currently active?
Yes — LOUIS KIENZLER GRAHAM (M.D.) appears active in the national provider directory.
What field does LOUIS KIENZLER GRAHAM (M.D.) work in?
You can think of LOUIS KIENZLER GRAHAM (M.D.) as practicing within Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What location shows for LOUIS KIENZLER GRAHAM (M.D.)?
We surface Springfield, Illinois for LOUIS KIENZLER GRAHAM (M.D.) based on available NPPES addresses.
What if Springfield, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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