MATTHEW GRAHAM
NPI 1164830865
Nurse Practitioner - Family in Sioux Falls, SD
About Matthew Graham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW GRAHAM (NPI 1164830865) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (R036617) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Graham 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Graham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57104
- Reassigned Medicare billing, Minnesota and South Dakota enrollments
- Also billed through NPI 1457383424 (South Dakota)
- 103 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, Minnesota and South Dakota enrollments
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
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 Matthew Graham's NPI number?
The NPI number for Matthew Graham is 1164830865. It was assigned to this individual provider in the NPPES registry on July 25, 2014.
Where is Matthew Graham located?
Matthew Graham practices at 1309 W 17th St Ste 101, Sioux Falls, SD 57104. The listed phone number is (605) 328-8000.
What is Matthew Graham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Matthew Graham enrolled in Medicare?
Yes. Matthew 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.
Which organizations bill Medicare for Matthew Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Graham reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Graham accept?
Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Matthew 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.
Is Matthew Graham affiliated with any hospitals?
According to CMS data, Matthew Graham is affiliated with Sanford Usd Medical Center.
When was this NPI record last updated?
The NPPES record for Matthew Graham was last updated on July 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Matthew Graham · NPI 1164830865
Family physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since July 25, 2014.
## Identity
- **NPI:** 1164830865 (Entity type: Individual)
- **Enumerated:** July 25, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R036617 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1309 W 17TH ST STE 101, Sioux Falls, SD 57104-8805
- **Phone:** (605) 328-8000 · **Fax:** (605) 328-8001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sanford Clinic (NPI 1699968057, Sioux Falls, SD); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Dakota School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** July 25, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1164830865) · Data from the CMS NPPES public registry.