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DR. PHILIP RANDLE GRAHAM O.D.
NPI 1164572848
Optometrist in Pontotoc, MS

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
14 E MARION ST, PONTOTOC, MS 38863(662) 489-4741(662) 489-2940 Get Directions Write a Review

NPPES record last updated: November 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Philip Randle Graham O.d. NPPES

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

DR. PHILIP RANDLE GRAHAM O.D. (NPI 1164572848) is an individual optometrist in Pontotoc, Mississippi, licensed in Mississippi (491) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1980).

NPPES Registry Identity

NPI1164572848
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PHILIP RANDLE GRAHAMCredential: O.D.
Location Address14 E MARION STPontotoc, MS 38863-2813
Mailing AddressPo Box 120Pontotoc, MS 38863-0120 · (662) 489-4741
Phone(662) 489-4741
Fax(662) 489-2940
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1980
Enumeration DateJanuary 12, 2007
Last NPPES UpdateNovember 10, 2008
✔ NPI 1164572848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MS · 491
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
14 E MARION ST, Pontotoc, MS 38863
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Other Identifiers 3

Medicare NSC0695680001MS
Medicare PIN560948822MS
Medicaid00087908MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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. Philip Randle Graham O.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 ID42320319
PECOS Enrollment IDI20120425000381
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 5

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.
190 services114 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
131 services128 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
30 services30 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
28 services16 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38863 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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

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

PHILIP R GRAHAM & WILLIAM J
Optometrist
14 E MARION ST
PONTOTOC, MS 38863
Pontotoc County (662) 489-4741

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 Philip Graham's NPI number?

The NPI number for Philip Graham is 1164572848. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Philip Graham located?

Philip Graham practices at 14 E Marion St, Pontotoc, MS 38863. The listed phone number is (662) 489-4741.

What is Philip Graham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Philip Graham enrolled in Medicare?

Yes. Philip 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 Philip Graham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 10 other insurers list Philip 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 Philip Graham was last updated on November 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.