Jackson Graves, MD
NPI 1740843127ActiveIndividual· Pediatrics· Peoria, IL
Pediatrics (MD) in Peoria, Illinois, trained at Southern Illinois University School of Medicine (class of 2019). 79 Medicare patients in 2024, $20,105 paid; nearly all of their 68 Part D prescriptions were generic (93%).
Overview
| NPI | 1740843127 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 21, 2019 |
| Last updated in NPPES | Feb 28, 2024 |
| Certified by provider | Feb 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 036.162138 | IL |
| Internal Medicine | 207R00000X | 036.162138 | IL |
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 - Internal Medicine (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 272 across 6 procedure codes |
| Paid by Medicare | $20,105 |
Part D prescriptions in 2024
| Prescriptions (claims) | 68 · 105 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $3,067 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | Southern Illinois University School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Internal Medicine |
| Secondary specialties | Pediatric Medicine |
Medical group
- The Board of Trustees of the University of IllinoisChicago, IL · 1,150 clinicians
Hospital affiliation
- Saint Francis Medical CenterPeoria, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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