PHILLIP MADSEN GRAEHL M.D.
NPI 1023107851
Orthopaedic Surgery in Carrollton, TX
NPI Status: Active since October 12, 2006
Contact Information
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
Phone: (972) 492-1334
Fax: (972) 492-5174
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- Medicare Quality Reporting
About PHILLIP GRAEHL
This page provides the complete NPI Profile along with additional information for Phillip Graehl, a provider established in Carrollton, Texas with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1023107851 assigned on October 2006. The practitioner's primary taxonomy code is 207X00000X with license number G9967 (TX). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1023107851
- Provider Name
- PHILLIP MADSEN GRAEHL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4780 N JOSEY LN CARROLLTON, TX 75010
- Location Phone
- (972) 492-1334
- Location Fax
- (972) 492-5174
- Mailing Address
- 4780 N JOSEY LN CARROLLTON, TX 75010
- Mailing Phone
- (972) 492-1334
- Mailing Fax
- (972) 492-5174
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-12-2006
- Last Update Date
- 02-01-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G9967
- License State
- TX
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207XS0114X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | G9967 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8CR155 | OTHER (01) | TX | BCBS TX 02/01/11 |
| C97799 | MEDICARE UPIN (02) | TX | |
| 6484850003 | OTHER (01) | TX | MEDICARE NSC - EFFECT. 02/01/2011 |
| 8743MO | MEDICARE PIN (08) | TX | |
| P00913367 | OTHER (01) | TX | MEDICARE RAILROAD - EFFECT. 02/01/2011 |
| TXB117513 | OTHER (01) | TX | MEDICARE PART B - EFFECT 02/01/2011 |
| 8F4981 | OTHER (01) | TX | BLUE CROSS BLUE SHIELD |
| 8636N6 | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | |
| 122271305 | MEDICAID (05) | TX | |
| 4375780002 | MEDICARE NSC (07) | TX |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Clinical Information Reconciliation | 97% | 798 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses. | ||
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| e-Prescribing | 99% | 183 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Provide Education Opportunities for New Clinicians | Yes | N/A |
| MIPS eligible clinicians acting as a preceptor for clinicians-in-training (such as medical residents/fellows, medical students, physician assistants, nurse practitioners, or clinical nurse specialists) and accepting such clinicians for clinical rotations in community practices in small, underserved, or rural areas. | ||
| Provide Patient Access | 82% | 512 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Secure Messaging | 0% | 512 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 1 | 0 | 7 | 8 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 2 | 0 | 14 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 2 + 0 + 1 + 4 + 8 + 1 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1023107851 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
PAUL WILLIAM PRESTON P.T.
Physical Therapist
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
MS. EINAT SHIMONI OGDEN
Physical Therapist
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
ANN KREIN OPAC
Clinical Nurse Specialist
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
METROCREST ORTHOPAEDICS & SPORTS MEDICINE
Specialist
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
PRESTIGE IMAGING, LLC
Clinic/Center
(Magnetic Resonance Imaging (MRI))
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
KIMBERLY A HAMILTON PAC
Physician Assistant
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
JULIE CATHERINE REEVES P.A.C.
Physician Assistant
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
CATHRYN D JOHNSON-ALLEN LPT
Physical Therapist
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
KATHLEEN LAVIGNE LOYD P.T.
Physical Therapist
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
DEREK MILES SMITH P.T.
Physical Therapist
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
GLENN STEPHEN WHEELESS M.D.
Orthopaedic Surgery
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
NATALIE U SMITH P.A.-C
Physician Assistant
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
ORTHOPEDIC PARTNERS FOR SURGICAL ADVANCEMENT
Physician Assistant
(Surgical)
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
KEITH A HEIER M.D.
Orthopaedic Surgery
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
JAMES ALLEN GUESS M.D.
Orthopaedic Surgery
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
CRAIG WILLIAM GOODHART M.D.
Orthopaedic Surgery
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
MITCHELL FRANKLIN FAGELMAN M.D.
Orthopaedic Surgery
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
CHARLES EDWARD NEAGLE M.D.
Orthopaedic Surgery
(Hand Surgery)
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
DR. SHIKHA SETHI M.D.
Physical Medicine & Rehabilitation
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
CHRISTOPHER D ALLMON MD
Orthopaedic Surgery
(Hand Surgery)
4780 N JOSEY LN
CARROLLTON, TX
ZIP 75010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023107851, enumerated as an "individual" on October 12, 2006.
The provider is located at 4780 N JOSEY LN CARROLLTON, TX 75010 and the phone number is (972) 492-1334.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Molina Healthcare, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.
