DR. SPENCER MATTHEW GRAHAM DDS - NPI 1194619189

Q: What is Spencer Graham's NPI number?

The NPI number for Spencer Graham is 1194619189. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Q: What is Spencer Graham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Graham was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Spencer Matthew Graham Dds NPPES

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

DR. SPENCER MATTHEW GRAHAM DDS (NPI 1194619189) is an individual general practice provider in Cadillac, Michigan, licensed in Michigan (2901602558) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194619189

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SPENCER MATTHEW GRAHAMCredential: DDS

Location Address7800 US HIGHWAY 131 SCadillac, MI 49601-7080

Mailing Address7800 Us Highway 131 SCadillac, MI 49601-7080 · (231) 775-9797 · Fax (231) 775-9793

Phone(231) 775-9797

Fax(231) 775-9793

Sole ProprietorNo

Enumeration DateJune 5, 2025

NPPES CertifiedJune 5, 2025

✔ NPI 1194619189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901602558

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

7800 US HIGHWAY 131 S, Cadillac, MI 49601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Delta Dental of Michigan, Dominion National 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 (PECOS)

Dr. Spencer Matthew Graham Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49601 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

ELLIE WALLACE DDS

Dentist (General Practice)