CATHY GRAHAM MD
NPI 1326149857
Surgery in Cartersville, GA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
970 JOE FRANK HARRIS PKWY SE STE 120, CARTERSVILLE, GA 30120(470) 490-4178 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cathy Graham Md NPPES

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

CATHY GRAHAM MD (NPI 1326149857) is an individual surgery provider in Cartersville, Georgia, licensed in Georgia (73694) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Piedmont Cartersville Medical Center, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1326149857
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCATHY GRAHAMCredential: MD
Location Address970 JOE FRANK HARRIS PKWY SE STE 120Cartersville, GA 30120-2160
Mailing Address970 Joe Frank Harris Pkwy Se Ste 120Cartersville, GA 30120-2160
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1986
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1326149857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 73694✔ Licensed in OH · 35057460
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
970 JOE FRANK HARRIS PKWY SE STE 120, Cartersville, GA 30120

Secondary Practice Location 1

Location 15665 Peachtree Dunwoody Rd, Winship at Emory St. Joseph's HospitalAtlanta, GA 30342-1764 · Phone (215) 334-6012

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cathy Graham Md 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 ID6709786650
PECOS Enrollment IDI20150624001466
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cathy Graham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
88 services80 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.
65 services60 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.
20 services19 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.
18 services18 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Cartersville Medical Center

Acute Care Hospitals · Cartersville, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110030
Location960 Joe Frank Harris ParkwayCartersville, GA 30120 · Bartow County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30120 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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
6 suppliers13 claims43 services$36.50 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 8

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

Orthopaedic Surgery
970 JOE FRANK HARRIS PKWY SE STE 120
CARTERSVILLE, GA 30120
Surgery
970 JOE FRANK HARRIS PKWY SE STE 120
CARTERSVILLE, GA 30120
Obstetrics & Gynecology
970 JOE FRANK HARRIS PKWY SE STE 120
CARTERSVILLE, GA 30120
Surgery
970 JOE FRANK HARRIS PKWY SE STE 120
CARTERSVILLE, GA 30120
Specialist
970 JOE FRANK HARRIS PKWY SE STE 120
CARTERSVILLE, GA 30120
Nurse Practitioner
970 JOE FRANK HARRIS PKWY SE STE 120
CARTERSVILLE, GA 30120
Surgery
970 JOE FRANK HARRIS PKWY SE STE 120
CARTERSVILLE, GA 30120
Nurse Practitioner (Family)
970 JOE FRANK HARRIS PKWY SE STE 120
CARTERSVILLE, GA 30120

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 Cathy Graham's NPI number?

The NPI number for Cathy Graham is 1326149857. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Cathy Graham located?

Cathy Graham practices at 970 Joe Frank Harris Pkwy SE Ste 120, Cartersville, GA 30120. The listed phone number is (470) 490-4178.

What is Cathy Graham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Cathy Graham enrolled in Medicare?

Yes. Cathy 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.

Which organizations bill Medicare for Cathy Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cathy Graham reassigns Medicare benefits to 2 organizations: Piedmont Providers LLC (Jasper, GA) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cathy Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cathy Graham accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Cathy 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 Cathy Graham affiliated with any hospitals?

According to CMS data, Cathy Graham is affiliated with Piedmont Cartersville Medical Center, Saint Joseph's Hospital Of Atlanta, Inc and Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Cathy Graham was last updated on January 23, 2025. 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.