LACY JO GRAHAM APRN-C
NPI 1225439391
Nurse Practitioner - Family in Duarte, CA

Active since September 09, 2014PECOS Enrolled
99.12/100
CMS Quality Rating
1500 E. DUARTE ROAD, DUARTE, CA 91010(626) 256-4673 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2020, Feb 8, 2019 (2 updates tracked since 2019).

About Lacy Jo Graham Aprn-c NPPES

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

LACY JO GRAHAM APRN-C (NPI 1225439391) is an individual family provider in Duarte, California, licensed in California (95010753) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225439391
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACY JO GRAHAMCredential: APRN-C
Location Address1500 E. DUARTE ROADDuarte, CA 91010
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Sole ProprietorNo
Enumeration DateSeptember 9, 2014
Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
NPI 1225439391 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
Licenses Licensed in CA · 95010753 Licensed in KS · 76537 Licensed in OK · 113746
1500 E. DUARTE ROAD, Duarte, CA 91010

Accepted 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)

Lacy Jo Graham Aprn-c 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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$67.07 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$32.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Surgery
1500 E. DUARTE ROAD
DUARTE, CA 91010
Nurse Practitioner (Women's Health)
1500 E. DUARTE ROAD
DUARTE, CA 91010
Plastic Surgery
1500 E. DUARTE ROAD
DUARTE, CA 91010
Internal Medicine (Medical Oncology)
1500 E. DUARTE ROAD
DUARTE, CA 91010
Nurse Practitioner (Family)
1500 E. DUARTE ROAD
DUARTE, CA 91010
Hospitalist
1500 E. DUARTE ROAD
DUARTE, CA 91010
Internal Medicine (Hematology)
1500 E. DUARTE ROAD
DUARTE, CA 91010
Nurse Practitioner (Gerontology)
1500 E. DUARTE ROAD
DUARTE, CA 91010

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 Lacy Graham's NPI number?

The NPI number for Lacy Graham is 1225439391. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Lacy Graham located?

Lacy Graham practices at 1500 E. Duarte Road, Duarte, CA 91010. The listed phone number is (626) 256-4673.

What is Lacy Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lacy Graham enrolled in Medicare?

Yes. Lacy Graham is registered in the Medicare PECOS enrollment system.

What insurance does Lacy Graham accept?

Health plans from Medica list Lacy 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 Lacy Graham was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.