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DR. EDITH K GRAVES M.D.
NPI 1396826129
Internal Medicine - Hematology & Oncology in Opelika, AL

Active since October 18, 2006PECOS Enrolled
77.52/100
CMS Quality Rating
2000 PEPPERELL PKWY, OPELIKA, AL 36801(334) 528-1054(334) 528-1667 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edith K Graves M.d. NPPES

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

DR. EDITH K GRAVES M.D. (NPI 1396826129) is an individual hematology & oncology provider in Opelika, Alabama, licensed in Alabama (12882) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396826129
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. EDITH K GRAVESCredential: M.D.
Location Address2000 PEPPERELL PKWYOpelika, AL 36801-5452
Mailing Address2000 Pepperell PkwyOpelika, AL 36801-5452 · (334) 528-1054 · Fax (334) 528-1667
Phone(334) 528-1054
Fax(334) 528-1667
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 28, 2013
✔ NPI 1396826129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in AL · 12882
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2000 PEPPERELL PKWY, Opelika, AL 36801
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Other Names 1

Former Name (1)Ms. Edith Fraser Keith

Other Identifiers 3

Medicare UPINC78856AL
Medicare PIN000080793AL
Medicaid000080793AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edith K Graves 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.

Areas of Expertise CMS Part B claims 3

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.
311 services177 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.
90 services70 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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.

77.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.31
Promoting Interoperability100
Improvement Activities40
Cost57.39

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
66%340 patients3/55-star benchmark: 96%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
23%499 patients1/55-star benchmark: 95%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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
1 supplier36 claims71 services$33.10 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
1 supplier15 claims20 services$261.60 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 20

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

TAYLOR DAVID WACHS DO
Internal Medicine (Critical Care Medicine)
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 749-3411
MAXIMILIAN SUNGHO CHOO
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 364-3300
DR. CASEY ESTELLE SPEARS PHARMD
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 749-3411
NGUYEN LAM DO
Student in an Organized Health Care Education/Training Program
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 364-3300
DAVID ALLEN POWELL CAA
Anesthesiologist Assistant
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-2499
ARSH PATEL DO
Internal Medicine
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-3035
JAMIE TREHERN RN
Registered Nurse (Obstetric, Inpatient)
2000 PEPPERELL PKWY, 3RD FLOOR/ MOTHER BABY
OPELIKA, AL 36801
Lee County (334) 528-3710
MACKENZIE WINTER WATERS PHARM.D.
Pharmacist
2000 PEPPERELL PKWY
OPELIKA, AL 36801
Lee County (334) 528-2474

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 Edith Graves's NPI number?

The NPI number for Edith Graves is 1396826129. It was assigned to this individual provider in the NPPES registry on October 18, 2006. The provider is also known as Ms. Edith Fraser Keith.

Where is Edith Graves located?

Edith Graves practices at 2000 Pepperell Pkwy, Opelika, AL 36801. The listed phone number is (334) 528-1054.

What is Edith Graves's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Edith Graves enrolled in Medicare?

Yes. Edith Graves is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edith Graves was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.