DAVID GRAFF M.D.
NPI 1306865035
Hospitalist in Wailuku, HI

NPI Status: Active since July 19, 2006

Contact Information

2180 MAIN ST
WAILUKU, HI
ZIP 96793
Phone: (808) 242-6464
Fax: (808) 242-4210

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Hospitalist
PECOS Enrolled

About DAVID GRAFF

This page provides the complete NPI Profile along with additional information for David Graff, a provider established in Wailuku, Hawaii with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1306865035 assigned on July 2006. The practitioner's primary taxonomy code is 208M00000X with license number MD11844 (HI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1306865035
Provider Name: DAVID GRAFF M.D.
Gender: Male
Entity Type: Individual
Location Address: 2180 MAIN ST WAILUKU, HI 96793
Location Phone: (808) 242-6464
Location Fax: (808) 242-4210
Mailing Address: 2180 MAIN ST WAILUKU, HI 96793
Mailing Phone: (808) 242-6464
Mailing Fax: (808) 242-4210
Is Sole Proprietor?: No
Enumeration Date: 07-19-2006
Last Update Date: 04-07-2008
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Hospitalist
Taxonomy Code: 208M00000X
Type: Allopathic & Osteopathic Physicians
License No.: MD11844
License State: HI
Taxonomy Description: Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Tricare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
52703801	OTHER (01)	HI	ALOHA CARE QUEST
99017685996793D003	OTHER (01)	HI	TRICARE
H55189	MEDICARE PIN (08)	HI
G09927	MEDICARE UPIN (02)	HI
A235380	OTHER (01)	HI	HMSA - 65CP - HMSA QUEST
542643	OTHER (01)	HI	UHA
52703801	MEDICARE ID-TYPE UNSPECIFIED (04)	HI

Medicare Participation & PECOS Enrollment Status

David Graff is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 96793 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $136.68
Minimum New Patient Price $60.53
Maximum New Patient Price $180.05

Average New Patient Copayment $34.17
Minimum New Patient Copayment $15.13
Maximum New Patient Copayment $45.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $105.65
Minimum Established Patient Price $20.09
Maximum Established Patient Price $147.56

Average Established Patient Copayment $26.41
Minimum Established Patient Copayment $5.02
Maximum Established Patient Copayment $36.89

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306865035, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 1 + 6 + 6 + 1 + 0 + 0 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1306865035.