ALEXIS GRAHAM MD
NPI 1124418447
Surgery - Vascular Surgery in Boise, ID

Q: What is Alexis Graham's NPI number?

The NPI number for Alexis Graham is 1124418447. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Q: What is Alexis Graham's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Graham was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 January 26, 2015PECOS EnrolledAccepts Medicare Assignment

333 N 1ST ST STE 280, BOISE, ID 83702(208) 345-6545(208) 345-1213 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Mar 21, 2017 (2 updates tracked since 2017).

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About Alexis Graham Md NPPES

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

ALEXIS GRAHAM MD (NPI 1124418447) is an individual vascular surgery provider in Boise, Idaho, licensed in Idaho (5571144) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124418447

Entity TypeIndividualFemale

Primary Taxonomy2086S0129X

Provider Legal NameALEXIS GRAHAMCredential: MD

Location Address333 N 1ST ST STE 280Boise, ID 83702-6132

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 345-6545

Fax(208) 345-1213

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2017

Enumeration DateJanuary 26, 2015

Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration

NPPES CertifiedAugust 21, 2025

✔ NPI 1124418447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Licenses✔ Licensed in ID · 5571144✔ Licensed in WI · 82235-20

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

333 N 1ST ST STE 280, Boise, ID 83702

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1600 N Wolfe St, TOWER 110Baltimore, MD 21287 · Phone (602) 881-0977

Location 2Uw Hospitals & Clinics 600 Highland AveMadison, WI 53792-0001 · Phone (608) 632-6400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Alexis Graham Md 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 ID2769750751

PECOS Enrollment IDI20251120004413

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.

Hospital Affiliations CMS Care Compare 4

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

St Luke's Mccall

Critical Access Hospitals · Mccall, ID

OwnershipProprietary

CMS Certification Number131312

Location1000 State StreetMccall, ID 83638 · Valley County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

Other Providers at the Same Location NPPES 10

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

DR. ANDREW LEE MESHER MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)