DR. STEVEN DOUGLAS GRAHAM O.D.
NPI 1013931153
Optometrist in San Antonio, TX

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
5535 TX-1604 LOOP, SITE #104, SAN ANTONIO, TX 78253(210) 688-9272(620) 832-6600 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Steven Douglas Graham O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEVEN DOUGLAS GRAHAM O.D. (NPI 1013931153) is an individual optometrist in San Antonio, Texas, licensed in Texas (4911T) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1991).

NPPES Registry Identity

NPI1013931153
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEVEN DOUGLAS GRAHAMCredential: O.D.
Location Address5535 TX-1604 LOOP, SITE #104San Antonio, TX 78253
Mailing Address5535 Tx-1604 Loop, Site 104San Antonio, TX 78253 · (210) 688-9272 · Fax (832) 660-0881
Fax(620) 832-6600
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1991
Enumeration DateJuly 26, 2006
Last NPPES UpdateMay 24, 2023
NPPES CertifiedMay 17, 2023
NPI 1013931153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in TX · 4911T Licensed in KS · 1366
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5535 TX-1604 LOOP, San Antonio, TX 78253

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Steven Douglas Graham O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133113053
PECOS Enrollment IDI20220714002876
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78253 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%29 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven Graham's NPI number?

The NPI number for Steven Graham is 1013931153. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Steven Graham located?

Steven Graham practices at 5535 Tx-1604 Loop Site #104, San Antonio, TX 78253. The listed phone number is (210) 688-9272.

What is Steven Graham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Steven Graham enrolled in Medicare?

Yes. Steven Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Steven Graham accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Steven Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Steven Graham was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.