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JAMES MICHAEL GRAHAM M.D.
NPI 1356346167
Obstetrics & Gynecology in Louisville, KY

Active since June 17, 2005PECOS Enrolled
100/100
CMS Quality Rating
4130 DUTCHMANS LN, STE 400, LOUISVILLE, KY 40207(502) 897-0697(502) 897-0658 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Apr 11, 2019, Jul 11, 2016 (3 updates tracked since 2016).

About James Michael Graham M.d. NPPES

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

JAMES MICHAEL GRAHAM M.D. (NPI 1356346167) is an individual obstetrics & gynecology provider in Louisville, Kentucky, licensed in Kentucky (22664) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356346167
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJAMES MICHAEL GRAHAMCredential: M.D.
Location Address4130 DUTCHMANS LN, STE 400Louisville, KY 40207-4711
Mailing AddressPo Box 776351Chicago, IL 60677-6635 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 897-0697
Fax(502) 897-0658
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1356346167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 22664
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4130 DUTCHMANS LN, Louisville, KY 40207
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Other Identifiers 6

Other610673930AKY · Humana
Other160032459KY · Railroad
Other0700049KY · United Healthcare
Other1519000000044478KY · Blue Cross/blue Shield
Medicaid64226640KY
Other50036612KY · Passport - Ws

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Michael Graham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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

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.

REBECCA JO KOSTYO APRN
Nurse Practitioner
4130 DUTCHMANS LN, STE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-1794
LOUISVILLE ORTHOPAEDIC SURGERY CENTER PLLC
Clinic/Center (Ambulatory Surgical)
4130 DUTCHMANS LN, SUITE 200
LOUISVILLE, KY 40207
Jefferson County (502) 897-2804
GEORGE E QUILL JR. MD
Orthopaedic Surgery
4130 DUTCHMANS LN, STE 202
LOUISVILLE, KY 40207
Jefferson County (502) 897-1794
PATRICK D THOMPSON P.T.
Physical Therapist
4130 DUTCHMANS LN, SUITE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-1794
MR. MICHAEL JEROME MEHRING JR. MS, ATC
Specialist/Technologist (Athletic Trainer)
4130 DUTCHMANS LN, SUITE 100
LOUISVILLE, KY 40207
Jefferson County (502) 897-1790
ERIN E FIDLER LPT
Physical Therapist
4130 DUTCHMANS LN, SUITE 300
LOUISVILLE, KY 40207
Jefferson County (502) 897-1794
GEORGE W ROBERTSON M.D.
Obstetrics & Gynecology
4130 DUTCHMANS LN, STE 400
LOUISVILLE, KY 40207
Jefferson County (502) 897-0697
NICHOLAS AARON RYAN MD
Obstetrics & Gynecology
4130 DUTCHMANS LN, SUITE 400
LOUISVILLE, KY 40207
Jefferson County (502) 897-0697

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 James Graham's NPI number?

The NPI number for James Graham is 1356346167. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is James Graham located?

James Graham practices at 4130 Dutchmans Ln Ste 400, Louisville, KY 40207. The listed phone number is (502) 897-0697.

What is James Graham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Graham enrolled in Medicare?

Yes. James Graham is registered in the Medicare PECOS enrollment system.

What insurance does James Graham accept?

Health plans from CareSource list James 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.

When was this NPI record last updated?

The NPPES record for James Graham was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.