DR. JAMES C GRAHAM DPM
NPI 1225015498
Podiatrist - Primary Podiatric Medicine in Effingham, IL

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
95.48/100
CMS Quality Rating
900 W TEMPLE SUITE 202, EFFINGHAM, IL 62401(217) 342-2040(217) 342-5816 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James C Graham Dpm NPPES

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

DR. JAMES C GRAHAM DPM (NPI 1225015498) is an individual primary podiatric medicine provider in Effingham, Illinois and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (1988).

NPPES Registry Identity

NPI1225015498
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. JAMES C GRAHAMCredential: DPM
Location Address900 W TEMPLE SUITE 202Effingham, IL 62401-2187
Mailing Address900 W Temple Suite 202Effingham, IL 62401-2187 · (217) 342-2040 · Fax (217) 342-5816
Fax(217) 342-5816
Sole ProprietorYes
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1988
Enumeration DateDecember 28, 2005
Last NPPES UpdateOctober 30, 2007
NPI 1225015498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
900 W TEMPLE SUITE 202, Effingham, IL 62401

Other Identifiers 3

Medicare UPINT39139IL
Medicare NSC1225015498IL
Medicare ID-Type Unspecified789101

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. James C Graham Dpm 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 ID1456466069
PECOS Enrollment IDI20110105001117
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 13

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.

Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
321 services156 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
291 services136 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
174 services101 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
143 services143 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
87 services56 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
64 services40 patients

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.

95.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.13
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%282 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%224 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
32%223 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
48%90 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%1,287 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%597 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%260 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 48 patients
100%329 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 James Graham's NPI number?

The NPI number for James Graham is 1225015498. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is James Graham located?

James Graham practices at 900 W Temple Suite 202, Effingham, IL 62401. The listed phone number is (217) 342-2040.

What is James Graham's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is James Graham enrolled in Medicare?

Yes. James 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.

When was this NPI record last updated?

The NPPES record for James Graham was last updated on October 30, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.