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DANIEL KENDALL GRAHL III M.D.
NPI 1316274277
Orthopaedic Surgery in Macon, GA

Active since November 12, 2009PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
440 CHARTER BLVD STE 3302, MACON, GA 31210(782) 005-7104 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2023, Dec 22, 2020, Oct 24, 2018 and 1 more (4 updates tracked since 2017).

About Daniel Kendall Grahl Iii M.d. NPPES

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

DANIEL KENDALL GRAHL III M.D. (NPI 1316274277) is an individual orthopaedic surgery provider in Macon, Georgia, licensed in Georgia (82451) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with Coliseum Medical Centers, Llc, Dba, and is a graduate of Mercer University School Of Medicine (2013).

NPPES Registry Identity

NPI1316274277
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDANIEL KENDALL GRAHL IIICredential: M.D.
Location Address440 CHARTER BLVD STE 3302Macon, GA 31210-0711
Mailing Address900 Circle 75 Pkwy Se Ste 1700Atlanta, GA 30339-3087 · (770) 953-6929
Phone(782) 005-7104
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2013
Enumeration DateNovember 12, 2009
Last NPPES UpdateJanuary 18, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1316274277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 82451
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
440 CHARTER BLVD STE 3302, Macon, GA 31210
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Other Names 1

Other Name (5)Dan K. Grahl M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Daniel Kendall Grahl Iii 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 ID840434585
PECOS Enrollment IDI20190923003093
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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
192 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
135 services74 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.
94 services58 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
52 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
31 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Other Providers at the Same Location NPPES 3

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

LOREN JARED HUDSPETH MD
Orthopaedic Surgery
440 CHARTER BLVD STE 3302
MACON, GA 31210
Bibb County (478) 200-5710
ORTHOATLANTA, LLC
Orthopaedic Surgery
440 CHARTER BLVD STE 3302
MACON, GA 31210
Bibb County (478) 200-5710
DR. MICHAEL VERNON MILLS M.D
Orthopaedic Surgery
440 CHARTER BLVD STE 3302
MACON, GA 31210
Bibb County (478) 200-5710

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 Daniel Grahl's NPI number?

The NPI number for Daniel Grahl is 1316274277. It was assigned to this individual provider in the NPPES registry on November 12, 2009. The provider is also known as Dan K. Grahl M.D..

Where is Daniel Grahl located?

Daniel Grahl practices at 440 Charter Blvd Ste 3302, Macon, GA 31210. The listed phone number is (782) 005-7104.

What is Daniel Grahl's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Daniel Grahl enrolled in Medicare?

Yes. Daniel Grahl 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 Daniel Grahl accept?

Health plans from Alliant Health Plans, Inc. list Daniel Grahl 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 Daniel Grahl affiliated with any hospitals?

According to CMS data, Daniel Grahl is affiliated with Coliseum Medical Centers, LLC, Dba and Piedmont Macon North Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Grahl was last updated on January 18, 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.