SHANE LEE GRAHAM PA-C
NPI 1376762104
Physician Assistant - Medical in Bozeman, MT

Q: What is Shane Graham's NPI number?

The NPI number for Shane Graham is 1376762104. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Shane Graham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shane Graham was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment

80.8/100

CMS Quality Rating

1006 W MAIN ST, BOZEMAN, MT 59715(406) 414-4800 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2023, Aug 5, 2021 (2 updates tracked since 2021).

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About Shane Lee Graham Pa-c NPPES

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

SHANE LEE GRAHAM PA-C (NPI 1376762104) is an individual medical provider in Bozeman, Montana, licensed in Montana (MED-PAC-LIC-623) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Bozeman Health Deaconess Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1376762104

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSHANE LEE GRAHAMCredential: PA-C

Location Address1006 W MAIN STBozeman, MT 59715-3219

Mailing Address915 Highland BlvdBozeman, MT 59715-6902 · (406) 414-5000

Phone(406) 414-4800

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateApril 24, 2007

Last NPPES UpdateJune 24, 20262 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1376762104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MT · MED-PAC-LIC-623

Also ListedPhysician AssistantTaxonomy 363A00000X · License 623 (MT)

1006 W MAIN ST, Bozeman, MT 59715

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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

Shane Lee Graham Pa-c 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 ID5799862538

PECOS Enrollment IDI20121012000069

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 2

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 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.

59 services55 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 patients

Hospital Affiliations CMS Care Compare

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

Bozeman Health Deaconess Hospital

Acute Care Hospitals · Bozeman, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270057

Location915 Highland Blvd Suite 3310Bozeman, MT 59715 · Gallatin County

Emergency services Birthing friendly

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.

80.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.76

Promoting Interoperability

Improvement Activities

Cost

58.08

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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.

DR. JOHN MICHAEL WISE MD

Specialist