Dr. Philip James Abraham, MD

  • Springfield, IL
  • Pulmonologist
NPI1548375629PAC ID6406817717
Medicare services, 2024
4,317
Medicare patients, 2024
829
Part D claims, 2024
5,406
MIPS score, 2024
89
Hospital affiliations
5
Practice address
1025 S 6th St, Springfield, IL 62703
Practice phone
Call (217) 528-7541
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Springfield Clinic Urgent Care - Main

Urgent Care Center · Springfield, Illinois

See all 10 affiliations

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Dr. Philip James Abraham is a pulmonologist in Springfield, Illinois

Dr. Abraham practices at Springfield Clinic Urgent Care - Main in Springfield, Illinois.

Dr. Abraham's NPI, 1548375629, was assigned on August 20, 2006. Dr. Abraham graduated from Southern Illinois University School of Medicine in 1999. Dr. Abraham holds Illinois license 036116505.

NPI and contact details
Medicare PAC ID
6406817717
NPI enumeration date
August 20, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(217) 528-7541
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
53
Medical school graduation
1999

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Philip James Abraham practices at Springfield Clinic Urgent Care - Main in Springfield, Illinois

Dr. Abraham's primary practice is Springfield Clinic Urgent Care - Main, at 1025 S 6th St, Springfield, IL 62703. The practice phone is (217) 528-7541.

  • Springfield Clinic Urgent Care - Main
    1025 S 6th St, Springfield, IL 62703Phone(217) 528-7541

Source: Dmand AI Affiliation Data

Dr. Philip James Abraham is affiliated with 8 sites of care and 2 medical groups

Dr. Abraham's primary practice is Springfield Clinic Urgent Care - Main in Springfield, Illinois. Dr. Abraham is also affiliated with Springfield Memorial Hospital. The medical group on file is Springfield Clinic. Dmand AI also links Dr. Abraham to 4 more hospitals, 1 hospice, 1 ambulatory surgery center and 1 medical group, each named with a free account. Dr. Abraham's employer is on file too: an urgent care center.

See all 10 affiliations for Dr. Abraham

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Philip James Abraham's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Abraham practices, 8 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Springfield Clinic Urgent Care - MainAvailable with a free account
+7 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Philip James Abraham is one of 517 pulmonologists in Illinois

Pulmonary disease is Dr. Abraham's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Abraham is licensed in Illinois.

Specialties and state licenses

  • Pulmonary disease, IllinoisPrimaryLicense 036116505 · taxonomy 207RP1001X

Pulmonologists near Dr. Abraham

Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Philip James Abraham billed Medicare for 4,317 services in 2024

CMS data shows 4,317 Medicare services from Dr. Abraham across 29 procedure codes in 2024, for 829 Medicare patients. Medicare paid $215,591 for them.

Medicare services, 20244,317
Medicare patients829
Paid by Medicare$215,591
Procedure codes29

Dr. Abraham's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Tests and treatments
2023: 2,2852024: 2,0699%
Office and hospital visits
2023: 1,1112024: 1,00010%
Drugs given in the office
2023: 1,0352024: 87216%
Other services
2023: 2662024: 32723%
Surgery
2023: 162024: 49206%

Where Dr. Abraham's Medicare services took place, 2024

  • In an office4,28099%
  • In a facility371%

Dr. Abraham compared with the Illinois median for pulmonologists, 2024

  • Dr. Abraham
  • Illinois median
Medicare services
4,317vs 7695.6 times
Medicare patients
829vs 3412.4 times
Part D claims
5,233vs 49210.6 times

Medians across 522 pulmonologists in Illinois with Dmand AI profiles that report each measure.

Dr. Abraham's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Abraham

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Philip James Abraham treated 829 Medicare patients in 2024, average age 74

CMS counts 829 Medicare patients who saw Dr. Abraham in 2024. The largest group is 65 to 74, with 367 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 16% are also on Medicaid. Their average risk score is 1.54, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Abraham's median patient age at 65, with 57% women.

Medicare patients, 2024829
Average age74
Average risk score1.54
Also on Medicaid16%

Dr. Abraham's Medicare patients by age, 2024

Dr. Abraham's Medicare patients by sex, 2024

  • Women46856%
  • Men36144%

Chronic conditions among Dr. Abraham's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease56%
  4. COPD54%
  5. Arthritis46%
  6. Diabetes38%
  7. Anxiety31%
  8. Asthma29%

Share of Medicare patients with each condition. A patient can have several.

Dr. Abraham's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 65

Patient panel by sex, all payers

  • Women57%
  • Men43%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Philip James Abraham wrote 5,406 Medicare Part D claims in 2024

In 2024, Dr. Abraham wrote 5,406 Medicare Part D claims for 791 patients. 37% of them were for generic drugs. CMS names the drug for 5,233 of them, across 46 drugs with 11 or more claims each, at $1,830,912 in total drug cost. In 2023, CMS named 4,759 claims across 44 drugs.

Part D claims, 20245,406
Drugs named by CMS46
Total drug cost$1.8M
Part D patients791

Dr. Abraham's Part D claims by kind of drug, 2024

  • Generic2,001 claims37%
  • Brand-name3,405 claims63%

Dr. Abraham's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Abraham's Part D claims, 2024

  • Antibiotics5%287 of 5,406 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 4,7592024: 5,23310%

Drugs named by CMS: 46 in 2024, 44 in 2023.

See all prescribing by Dr. Abraham

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Philip James Abraham scored 89 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Dr. Abraham for performance year 2024, reported through an alternative payment model (APM). Dr. Abraham accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Abraham's MIPS scores, performance year 2024

  • 89of 100Final score
  • 75.6of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Philip James Abraham received $2,091 in industry payments from 2016 to 2025

CMS Open Payments shows 57 general payments to Dr. Abraham from 17 drug and device companies from 2016 to 2025. Travel and lodging make up the largest share, 54% of the total. Intuitive Surgical, Inc. paid the most, $1,122.

General payments to Dr. Abraham by program year, 2016 to 2025

General payments to Dr. Abraham by kind, 2016 to 2025

$2.1Kin total
  • Travel and lodging$1,12254%
  • Food and beverage$93545%
  • Education$342%

Companies that paid Dr. Abraham the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Abraham

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Philip James Abraham graduated from Southern Illinois University School of Medicine

Dr. Abraham graduated from Southern Illinois University School of Medicine in 1999.

  1. Medical schoolSouthern Illinois University School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Philip James Abraham's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Philip James Abraham

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Philip James Abraham's NPI number?

Dr. Philip James Abraham's NPI number is 1548375629. It was assigned on August 20, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Philip James Abraham?

Dr. Philip James Abraham is a pulmonologist in Springfield, Illinois. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).

Where does Dr. Philip James Abraham practice?

Dr. Abraham practices at 1025 S 6th St, Springfield, IL 62703. Dr. Abraham's primary practice is Springfield Clinic Urgent Care - Main in Springfield, Illinois. Dmand AI also links Dr. Abraham to 4 hospitals, 1 hospice, 1 ambulatory surgery center and 1 medical group.

What is Dr. Philip James Abraham's office phone number?

The practice phone on file for Dr. Abraham is (217) 528-7541.

What is Dr. Philip James Abraham's medical license number?

Dr. Abraham holds Illinois license 036116505.

Which hospitals is Dr. Philip James Abraham affiliated with?

Dr. Abraham is affiliated with Springfield Memorial Hospital. Dmand AI links Dr. Abraham to 4 more hospitals.

What medical group is Dr. Philip James Abraham part of?

Dr. Abraham is linked to Springfield Clinic. Dmand AI links Dr. Abraham to 1 more medical group.

Does Dr. Philip James Abraham accept Medicare?

Yes. CMS data shows Dr. Abraham billed Medicare for 4,317 services in 2024, and Dr. Abraham accepts Medicare assignment.

What is Dr. Philip James Abraham's MIPS score?

Dr. Abraham's MIPS final score for performance year 2024 is 89 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Philip James Abraham see?

CMS counts 829 Medicare patients who saw Dr. Abraham in 2024, with an average age of 74.

Show 5 more questionsShow fewer questions

What services does Dr. Philip James Abraham bill to Medicare?

In 2024, Dr. Abraham's most billed Medicare services were lung function service (94375), office visit, established patient (99214) and injected or infused drug (J7674).

Where did Dr. Philip James Abraham go to medical school?

Dr. Abraham graduated from Southern Illinois University School of Medicine in 1999.

What drugs does Dr. Philip James Abraham prescribe most?

In 2024 Medicare Part D data, Dr. Abraham's most prescribed drugs by claims were Trelegy Ellipta, Albuterol Sulfate Hfa and Breo Ellipta.

Has Dr. Philip James Abraham received payments from drug or device companies?

CMS Open Payments shows $2,091 in general payments to Dr. Abraham from 17 companies from 2016 to 2025. The largest total came from Intuitive Surgical, Inc.

How long has Dr. Philip James Abraham been practicing?

Dr. Abraham graduated from medical school in 1999, 27 years ago.

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