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DR. THOMAS J. GRAHAM M.D.
NPI 1295799666
Orthopaedic Surgery - Hand Surgery in Allentown, PA

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
1621 N CEDAR CREST BLVD, ALLENTOWN, PA 18104(610) 402-8900 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2023, May 10, 2021, May 4, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Thomas J. Graham M.d. NPPES

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

DR. THOMAS J. GRAHAM M.D. (NPI 1295799666) is an individual hand surgery provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD480740) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1295799666
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. THOMAS J. GRAHAMCredential: M.D.
Location Address1621 N CEDAR CREST BLVDAllentown, PA 18104-2304
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(610) 402-8900
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1988
Enumeration DateApril 13, 2006
Last NPPES UpdateApril 14, 20234 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1295799666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses✔ Licensed in PA · MD480740✔ Licensed in NY · 287705
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License D0055971 (MD), 35.066570 (OH)
1621 N CEDAR CREST BLVD, Allentown, PA 18104
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Secondary Practice Location 1

Location 13737 Southern Blvd Ste 2100Kettering, OH 45429-1285 · Phone (937) 433-5330 · Fax (937) 298-0287

Other Identifiers 5

OtherDE5302MD · Railroad Medicare
OtherJ848MD · Carefirst Dc
Medicaid331950400MD
Other903AMD · Carefirst Maryland
OtherDC8030MD · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Dr. Thomas J. Graham M.d. 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 ID1254358435
PECOS Enrollment IDI20230428001678
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.

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 12

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

CLARE SCHOEN
Occupational Therapist
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 861-8080
MELISSA LINN KNECHT P.A.-C.
Physician Assistant
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
KIRSTEN MAYHEW
Physical Therapist
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 861-8080
TYLER JAMES TROBETSKY
Physician Assistant (Medical)
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
DANIEL CHARLES FARBER MD
Orthopaedic Surgery
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
DR. JEROME P KAPLAN DDS
Dentist
1621 N CEDAR CREST BLVD, SUITE 117 LEHIGH VALLEY SUBURBAN DENTAL ASSOC LTD
ALLENTOWN, PA 18104
Lehigh County (610) 820-9900
DAVID KUHN PA-C
Physician Assistant
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900
MRS. LORI CROUSE PAC
Physician Assistant (Surgical)
1621 N CEDAR CREST BLVD
ALLENTOWN, PA 18104
Lehigh County (610) 402-8900

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 Thomas Graham's NPI number?

The NPI number for Thomas Graham is 1295799666. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Thomas Graham located?

Thomas Graham practices at 1621 N Cedar Crest Blvd, Allentown, PA 18104. The listed phone number is (610) 402-8900.

What is Thomas Graham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Thomas Graham enrolled in Medicare?

Yes. Thomas 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.

What insurance does Thomas Graham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list Thomas 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.

Is Thomas Graham affiliated with any hospitals?

According to CMS data, Thomas Graham is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Graham was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.