NPIMap

Individual provider Active NPI

Eric Sean Graham, MD

  • Family Medicine Physician
  • Marion, IL
National Provider Identifier
1720120462
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.121717 Issued in IL
Practice address
2703 17TH St Apt D
Marion, IL 62959-4912
Phone
(618) 998-9200
Fax
(618) 998-9700
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036127171 IL
Family Medicine Physician 207Q00000X 24447 OK
Family Medicine Physician 207Q00000X 036.121717 IL Primary

Addresses

Primary practice location

2703 17TH St Apt D
Marion, IL 62959-4912

Mailing address

1508 Sioux Dr Ste B
Marion, IL 62959-5200
Phone (618) 405-9330

Other practice location 1

1508 Sioux Dr Ste B
Marion, IL 62959-5200
Phone (618) 405-9330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1104 W Main St
Benton, IL 62812-1565
Phone (618) 439-3399

Hospital & facility affiliations

  • LHC-Illinois Home Health Care Home health agency, Marion, IL, CCN 147716
  • Residential Home Health of Southern Illinois, LLC Home health agency, Marion, IL, CCN 147112
  • Franklin Williamson Bi County Home health agency, Marion, IL, CCN 147027
  • Residential Hospice of Southern Illinois Hospice, Marion, IL, CCN 141576
  • Hospice of Southern Illinois, Inc Hospice, Belleville, IL, CCN 141504
  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
  • Harrisburg Medical Center Hospital, Harrisburg, IL, CCN 140210

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as individual
Quality
78.67
Promoting interoperability
99
Improvement activities
40
Cost
73.09

Merit-based Incentive Payment System (MIPS)

Final score
77.51 of 100Reported as group
Quality
49.04
Promoting interoperability
95
Improvement activities
40
Cost
69.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision21
Removal of skin lesions39
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.121717ILMDFamily Medicine Physician
036127171ILMDFamily Medicine Physician
24447OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Clinic, Inc Family Medicine CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Crossroads Inc CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Single Specialty Current Accepting new patients
Deaconess Illinois Clinic, Inc Single Specialty Current Accepting new patients
Deaconess Illinois Clinic, Inc Family Medicine CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Crossroads Inc Single Specialty CurrentSince Dec 6, 2022 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Jan 14, 2023 Accepting new patients

Locations

205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189

1000 Eleven S
Columbia, IL 62236
Phone (618) 281-7010

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3329 W Deyoung St
Marion, IL 62959
Phone (618) 985-8007

2703 17th St
Apt D
Marion, IL 62959
Phone (618) 998-9200

2700 W Deyoung St
Marion, IL 62959
Phone (618) 969-8633

2703 17th St
Marion, IL 62959

4101 N Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 244-4313

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

Interoperability endpoints

  • Direct secure messaging: egraham392830@direct.deaconess.com
  • Direct secure messaging: egraha12@yourcarecommunity.org
  • Direct secure messaging: eric.graham.1@27782.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1720120462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 SIOUX DR STE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595200",
            "telephone_number": "618-405-9330",
            "fax_number": "618-405-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 17TH ST APT D",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594912",
            "telephone_number": "618-998-9200",
            "fax_number": "618-998-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Sioux Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629595200",
            "country_code": "US",
            "telephone_number": "618-405-9330",
            "fax_number": "618-405-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ERIC",
        "middle_name": "SEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036127171",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24447",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.121717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.