ALISON LYNN GRACOM PA
NPI 1245496843
Physician Assistant - Medical in Irvine, CA

Active since August 03, 2008PECOS EnrolledAccepts Medicare Assignment
4902 IRVINE CENTER DR STE 103, IRVINE, CA 92604(949) 861-4177(949) 861-4178 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alison Lynn Gracom Pa NPPES

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

ALISON LYNN GRACOM PA (NPI 1245496843) is an individual medical provider in Irvine, California, licensed in California (PA20929) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1245496843
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALISON LYNN GRACOMCredential: PA
Location Address4902 IRVINE CENTER DR STE 103Irvine, CA 92604-3334
Mailing Address4902 Irvine Center Dr Ste 103Irvine, CA 92604-3334 · (949) 861-4177 · Fax (949) 861-4178
Fax(949) 861-4178
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 3, 2008
Last NPPES UpdateFebruary 7, 2022
NPPES CertifiedFebruary 7, 2022
NPI 1245496843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CA · PA20929 Licensed in NY · 010754
4902 IRVINE CENTER DR STE 103, Irvine, CA 92604

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

Alison Lynn Gracom Pa 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 ID1153514468
PECOS Enrollment IDI20101019001256
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 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
271 services98 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Referred Medical Equipment & Supplies CMS DME claims 3

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

Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg J1459
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims1,500 services$36.21 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
3 suppliers19 claims2,900 services$6.96 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier21 claims21 services$181.72 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

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

Internal Medicine
4902 IRVINE CENTER DR STE 103
IRVINE, CA 92604

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 Alison Gracom's NPI number?

The NPI number for Alison Gracom is 1245496843. It was assigned to this individual provider in the NPPES registry on August 3, 2008.

Where is Alison Gracom located?

Alison Gracom practices at 4902 Irvine Center Dr Ste 103, Irvine, CA 92604. The listed phone number is (949) 861-4177.

What is Alison Gracom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alison Gracom enrolled in Medicare?

Yes. Alison Gracom 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 Alison Gracom was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.