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MATTHEW GRAHAM
NPI 1164830865
Nurse Practitioner - Family in Sioux Falls, SD

Active since July 25, 2014PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1309 W 17TH ST STE 101, SIOUX FALLS, SD 57104(605) 328-8000(605) 328-8001 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1164830865
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW GRAHAM
Location Address1309 W 17TH ST STE 101Sioux Falls, SD 57104-8805
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Phone(605) 328-8000
Fax(605) 328-8001
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2014
Enumeration DateJuly 25, 2014
✔ NPI 1164830865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · R036617
1309 W 17TH ST STE 101, Sioux Falls, SD 57104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

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.

PECOS PAC ID6002138047
PECOS Enrollment IDI20141203000329, I20170206001186
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

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, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

EDGARDO FORTUNO III DO
Internal Medicine (Hospice and Palliative Medicine)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
DR. KEELY MARIE HACK M.D.
Internal Medicine (Hematology & Oncology)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
JACQUELINE KELLEY
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
KRISTINA MARIE LEWISON CNP
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
SHAUNA MARIE JACOBS CNP
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
MICHELLE RENEE HEALY PA-C
Physician Assistant
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
RYAN KELTON LEWIS MD
Internal Medicine (Hospice and Palliative Medicine)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000
LILI WAT WILSON FNP
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8000

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.

What insurance does Matthew Graham accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan 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.