DR. EDITH GRAHAM M.D.
NPI 1043668239
Psychiatry & Neurology - Neurology in Chicago, IL

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
259 E ERIE ST STE 1900, CHICAGO, IL 60611(312) 695-7950(312) 695-5747 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edith Graham M.d. NPPES

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

DR. EDITH GRAHAM M.D. (NPI 1043668239) is an individual neurology provider in Chicago, Illinois, licensed in Illinois (036152381) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1043668239
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. EDITH GRAHAMCredential: M.D.
Location Address259 E ERIE ST STE 1900Chicago, IL 60611-3246
Mailing Address259 E Erie St Ste 1900Chicago, IL 60611-3246 · (312) 695-7950 · Fax (312) 695-5747
Fax(312) 695-5747
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2016
Enumeration DateMay 27, 2016
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
NPI 1043668239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IL · 036152381
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.068614 (IL)
259 E ERIE ST STE 1900, Chicago, IL 60611

Secondary Practice Location 1

Location 11650 W Harrison St, Suite 466, AtriumChicago, IL 60612-3800 · Phone (312) 942-5000

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. Edith Graham M.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 ID4880986876
PECOS Enrollment IDI20200522002574
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 11

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.

Injection, ocrelizumab, 1 mg J2350
Ocrelizumab is a medication given via injection to manage conditions like Multiple Sclerosis. It helps control symptoms by targeting specific proteins in the immune system. This service involves injecting 1 mg of Ocrelizumab.
9,900 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services79 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services40 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
62 services30 patients
Administration of chemotherapy into vein, each additional hour 96415
Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.
53 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Physician Assistant
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neuromuscular Medicine)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neuromuscular Medicine)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Neuromuscular Medicine)
259 E ERIE ST STE 1900
CHICAGO, IL 60611
Psychiatry & Neurology (Vascular Neurology)
259 E ERIE ST STE 1900
CHICAGO, IL 60611

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 Edith Graham's NPI number?

The NPI number for Edith Graham is 1043668239. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Edith Graham located?

Edith Graham practices at 259 E Erie St Ste 1900, Chicago, IL 60611. The listed phone number is (312) 695-7950.

What is Edith Graham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Edith Graham enrolled in Medicare?

Yes. Edith 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.

Is Edith Graham affiliated with any hospitals?

According to CMS data, Edith Graham is affiliated with Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edith Graham was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.