DR. HEATHER GRAHAM M.D.
NPI 1104089952
Obstetrics & Gynecology in Charlotte, NC

Q: What is Heather Graham's NPI number?

The NPI number for Heather Graham is 1104089952. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Q: What is Heather Graham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Graham was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment

1918 RANDOLPH RD, SUITE 670, CHARLOTTE, NC 28207(704) 384-1620(704) 384-1626 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Heather Graham M.d. NPPES

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

DR. HEATHER GRAHAM M.D. (NPI 1104089952) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (2015-01105) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2008).

NPPES Registry Identity

NPI1104089952

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. HEATHER GRAHAMCredential: M.D.

Location Address1918 RANDOLPH RD, SUITE 670Charlotte, NC 28207-1100

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1620 · Fax (704) 384-1626

Phone(704) 384-1620

Fax(704) 384-1626

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2008

Enumeration DateJuly 2, 2008

Last NPPES UpdateAugust 12, 2015

✔ NPI 1104089952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NC · 2015-01105

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1918 RANDOLPH RD, Charlotte, NC 28207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Heather 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 ID8527215839

PECOS Enrollment IDI20151214002631

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services23 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

16 services16 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

48%25 patients2/55-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.

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.

DR. SIMON VIVIAN WARD III M.D.

Obstetrics & Gynecology

1918 RANDOLPH RD, SUITE 670
CHARLOTTE, NC 28207

Mecklenburg County (704) 384-1620

ADAM F. SPITZ MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207

Mecklenburg County (704) 316-1125

JENNIFER LYNN KELSO MD

Emergency Medicine

1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207

Mecklenburg County (704) 316-1050

DICK A. RICHARDS PA-C

Physician Assistant

1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207

Mecklenburg County (704) 316-1050

DR. RICHARD KLEINMANN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207

Mecklenburg County (704) 316-1125

NALLE PHARMACY INC

Pharmacy (Clinic Pharmacy)

1918 RANDOLPH RD, SUITE 120
CHARLOTTE, NC 28207

Mecklenburg County (704) 342-8180

DERMATOLOGY LASER AND VEIN SPECIALISTS OF THE CAROLINA'S, PLLC

Dermatology

1918 RANDOLPH RD, SUITE 550
CHARLOTTE, NC 28207

Mecklenburg County (704) 375-6766

DR. WALTER WALLACE JOHNSON M.D.

Internal Medicine

1918 RANDOLPH RD, SUITE 350
CHARLOTTE, NC 28207

Mecklenburg County (704) 384-1750

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 Heather Graham's NPI number?

The NPI number for Heather Graham is 1104089952. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Heather Graham located?

Heather Graham practices at 1918 Randolph Rd Suite 670, Charlotte, NC 28207. The listed phone number is (704) 384-1620.

What is Heather Graham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Heather Graham enrolled in Medicare?

Yes. Heather 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 Heather Graham accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Heather 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 Heather Graham was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.