Graham Wayne Rachal, FNP
NPI 1225456304ActiveIndividual· Nurse Practitioner, Family· Shreveport, LA
Nurse Practitioner, Family (FNP) with Cornerstone Therapy and Balance Center, LLC and 1 other group, practicing in Shreveport, Louisiana. Their prescriptions cost Medicare Part D more than their services did: $536,322 for 6,289 claims, against $92,877 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 21 companies reporting payments in 2025, $1,740 in all, mostly food and beverage. Lists Christus Shreveport-Bossier Health System and 1 other hospital as hospital affiliations.
Overview
| NPI | 1225456304 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Apr 4, 2014 |
| Last updated in NPPES | Feb 2, 2026 |
| Certified by provider | Feb 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP07641 | LA |
| Nurse Practitioner, Family | 363LF0000X | 63614 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 215 |
|---|---|
| Services billed | 3,902 across 104 procedure codes |
| Paid by Medicare | $92,877 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,289 · 12,373 30-day fills |
|---|---|
| Patients | 402 |
| Total drug cost | $536,322 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Cornerstone Therapy and Balance Center, LLCShreveport, LA · 94 clinicians
- Highland Clinic, A Prof Med CorpShreveport, LA · 66 clinicians
Hospital affiliations
- Christus Shreveport-Bossier Health SystemShreveport, LA
- Willis Knighton Medical CenterShreveport, LA
Other facilities
- Allegiance Home Health of Northwest laHome health agency · Minden, LA
- Christus Homecare Shreveport-BossierHome health agency · Shreveport, LA
- Louisiana HomecareHome health agency · Mansfield, LA
- Vitalcaring GroupHome health agency · Bossier City, LA
Industry payments (Open Payments)
- 2025$1,740 · 106 payments from 21 companies
- 2024$1,461 · 87 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $248.14 | 20 |
| Abbvie Inc. | $214.23 | 18 |
| Lilly USA, LLC | $213.33 | 12 |
| Novo Nordisk Inc | $199.26 | 12 |
| Glaxosmithkline, LLC. | $136.65 | 8 |
What the 2025 payments were for
- Food and Beverage$1,740 · 106 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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