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DR. JOSEPH MARK GRAHAM DO
NPI 1437359056
Orthopaedic Surgery in St Augustine, FL

Active since July 22, 2007PECOS EnrolledAccepts Medicare Assignment
120 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086(888) 481-2135(386) 627-7319 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2025, May 21, 2025, May 3, 2023 and 1 more (4 updates tracked since 2022).

About Dr. Joseph Mark Graham Do NPPES

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

DR. JOSEPH MARK GRAHAM DO (NPI 1437359056) is an individual orthopaedic surgery provider in St Augustine, Florida, licensed in Florida (OS11534) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437359056
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOSEPH MARK GRAHAMCredential: DO
Location Address120 HEALTH PARK BLVDSt Augustine, FL 32086-3701
Mailing AddressPo Box 112727Gainesville, FL 32611-2727 · (352) 273-7002 · Fax (352) 273-7388
Phone(888) 481-2135
Fax(386) 627-7319
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 22, 2007
Last NPPES UpdateJune 3, 20254 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1437359056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · OS11534
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.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License OS11534 (FL)
120 HEALTH PARK BLVD, St Augustine, FL 32086
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Secondary Practice Locations 2

Location 11600 SW Archer RdGainesville, FL 32610-7407 · Phone (352) 265-8336
Location 2145 City PlPalm Coast, FL 32164-2479 · Phone (888) 481-2135 · Fax (386) 627-7319

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Dr. Joseph Mark Graham Do 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 ID749444313
PECOS Enrollment IDI20120611000588, I20171120001117
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

3

Medicare enrollment records show Joseph Graham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Villages Regional Hospital Physician Services LLC
0.1 mi
Urgent Care
110 HEALTH PARK BLVD
St Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 354 clinicians in this Medicare group
NPI 1083548861 (904) 823-3401
Southeast Orthopedic Specialists, LLC
38 mi
Orthopaedic Surgery
2627 RIVERSIDE AVE STE 300
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 134 clinicians in this Medicare group
NPI 1629025820 (904) 634-0640
Florida Clinical Practice Association Inc
63 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

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 8

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.
50 services38 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.
27 services27 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
23 services23 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
19 services17 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
18 services11 patients
X-ray of middle and lower spine, 2 views 72080
An X-ray of the middle and lower spine, or 2-view lumbar spine X-ray, involves capturing images of your back. This helps detect issues like fractures, infections, or other abnormalities. It's painless and quick, taking only a few minutes.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 4

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

HEALING ARTS URGENT CARE
Clinic/Center (Emergency Care)
120 HEALTH PARK BLVD, SUITE 1
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-3401
HELENE MARKS ARNP
Nurse Practitioner (Family)
120 HEALTH PARK BLVD, STE 1
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-3401
DUDLEY ATKIN BARINGER M.D.
Family Medicine
120 HEALTH PARK BLVD, SUITE 1
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-3401
DUDLEY A BARINGER MD PA
Clinic/Center (Urgent Care)
120 HEALTH PARK BLVD, STE 1
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 823-3401

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 Joseph Graham's NPI number?

The NPI number for Joseph Graham is 1437359056. It was assigned to this individual provider in the NPPES registry on July 22, 2007.

Where is Joseph Graham located?

Joseph Graham practices at 120 Health Park Blvd, St Augustine, FL 32086. The listed phone number is (888) 481-2135.

What is Joseph Graham's specialty?

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

Is Joseph Graham enrolled in Medicare?

Yes. Joseph 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 Joseph Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Graham reassigns Medicare benefits to 3 organizations: Villages Regional Hospital Physician Services LLC (St Augustine, FL), Southeast Orthopedic Specialists, LLC (Jacksonville, FL) and Florida Clinical Practice Association Inc (Gainesville, FL). 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 Joseph Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Graham accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans list Joseph 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 Joseph Graham affiliated with any hospitals?

According to CMS data, Joseph Graham is affiliated with Flagler Hospital and Florida Hospital Flagler.

When was this NPI record last updated?

The NPPES record for Joseph Graham was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.