Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KAREN THERESE GRAHAM MD
NPI 1124004213
Ophthalmology in Concord, CA

Active since December 20, 2005PECOS Enrolled
0/100
CMS Quality Rating
2222 EAST ST, STE 365, CONCORD, CA 94520(925) 687-8280(925) 687-9744 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Karen Therese Graham Md NPPES

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

DR. KAREN THERESE GRAHAM MD (NPI 1124004213) is an individual ophthalmology provider in Concord, California, licensed in California (A53220) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124004213
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. KAREN THERESE GRAHAMCredential: MD
Location Address2222 EAST ST, STE 365Concord, CA 94520-2056
Mailing Address2222 East St, Ste 365Concord, CA 94520-2056 · (925) 687-8280 · Fax (925) 687-9744
Fax(925) 687-9744
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1124004213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A53220
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2222 EAST ST, Concord, CA 94520

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 (PECOS)

Dr. Karen Therese Graham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
359 services227 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.
191 services184 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
177 services171 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
140 services130 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
42 services38 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94520 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Interventional Cardiology)
2222 EAST ST, SUITE 260
CONCORD, CA 94520
Dentist (General Practice)
2222 EAST ST
CONCORD, CA 94520
Dentist (Endodontics)
2222 EAST ST, 350
CONCORD, CA 94520
Dentist (Endodontics)
2222 EAST ST, 350
CONCORD, CA 94520
Dentist (Oral and Maxillofacial Surgery)
2222 EAST ST, SUITE #355
CONCORD, CA 94520
Dietitian, Registered
2222 EAST ST, SUITE 305
CONCORD, CA 94520
Dentist (General Practice)
2222 EAST ST, #315
CONCORD, CA 94520
Dentist
2222 EAST ST, SUITE 270
CONCORD, CA 94520

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 Karen Graham's NPI number?

The NPI number for Karen Graham is 1124004213. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Karen Graham located?

Karen Graham practices at 2222 East St Ste 365, Concord, CA 94520. The listed phone number is (925) 687-8280.

What is Karen Graham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Karen Graham enrolled in Medicare?

Yes. Karen Graham is registered in the Medicare PECOS enrollment system.

What insurance does Karen Graham accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Karen 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 Karen Graham was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.