MATTHEW L MCGRAW APRN
NPI 1265797930
Nurse Practitioner - Adult Health in Fridley, MN

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
550 OSBORNE RD NE, FRIDLEY, MN 55432(651) 635-9173(651) 628-2999 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2021, Feb 1, 2019 (2 updates tracked since 2019).

About Matthew L Mcgraw Aprn NPPES

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

MATTHEW L MCGRAW APRN (NPI 1265797930) is an individual adult health provider in Fridley, Minnesota, licensed in Minnesota (6159) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265797930
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMATTHEW L MCGRAWCredential: APRN
Location Address550 OSBORNE RD NEFridley, MN 55432-2718
Mailing AddressPo Box 43Minneapolis, MN 55440-0043 · (612) 262-1166
Fax(651) 628-2999
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 9, 2012
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1265797930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MN · 6159
550 OSBORNE RD NE, Fridley, MN 55432

Other Identifiers 2

Other6159MN · Certified Nurse Practitioner
OtherAPN.0991439-NPCO · State License

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 and accepts Medicare assignment

Matthew L Mcgraw Aprn 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 ID5496907289
PECOS Enrollment IDI20181129001563
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 5

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
50 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services16 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
18 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Reported Quality Measures

e-Prescribing
66%202 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
10%116 patients1/55-star benchmark: 100%
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.

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.

Occupational Therapist
550 OSBORNE RD NE
FRIDLEY, MN 55432
Internal Medicine
550 OSBORNE RD NE
FRIDLEY, MN 55432
Pharmacy (Specialty Pharmacy)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Physician Assistant (Medical)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Pharmacy (Community/Retail Pharmacy)
550 OSBORNE RD NE
FRIDLEY, MN 55432
Nurse Practitioner
550 OSBORNE RD NE
FRIDLEY, MN 55432
General Acute Care Hospital
550 OSBORNE RD NE
FRIDLEY, MN 55432
Internal Medicine
550 OSBORNE RD NE, RT. 52840
FRIDLEY, MN 55432

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 Mcgraw's NPI number?

The NPI number for Matthew Mcgraw is 1265797930. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Matthew Mcgraw located?

Matthew Mcgraw practices at 550 Osborne Rd NE, Fridley, MN 55432. The listed phone number is (651) 635-9173.

What is Matthew Mcgraw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Matthew Mcgraw enrolled in Medicare?

Yes. Matthew Mcgraw 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 Mcgraw accept?

Health plans from Medica list Matthew Mcgraw 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 Mcgraw affiliated with any hospitals?

According to CMS data, Matthew Mcgraw is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Mcgraw was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.