DR. JAMES MATTHEW GRAHAM M.D.
NPI 1437448594
Dermatology in Benton, AR

Active since March 29, 2011PECOS EnrolledAccepts Medicare Assignment
97.5/100
CMS Quality Rating
5 MEDICAL PARK DR STE 200, BENTON, AR 72015(501) 776-3800(501) 776-2209 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Matthew Graham M.d. NPPES

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

DR. JAMES MATTHEW GRAHAM M.D. (NPI 1437448594) is an individual dermatology provider in Benton, Arkansas, licensed in Arkansas (E-9179) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1437448594
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. JAMES MATTHEW GRAHAMCredential: M.D.
Location Address5 MEDICAL PARK DR STE 200Benton, AR 72015-3732
Mailing Address9601 Baptist Health Dr, Suite 690Little Rock, AR 72205-6328 · (501) 227-8422 · Fax (501) 537-2399
Fax(501) 776-2209
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 29, 2011
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1437448594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AR · E-9179
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5 MEDICAL PARK DR STE 200, Benton, AR 72015

Secondary Practice Locations 2

Location 1315 Section Line Rd Ste A&bHot Springs, AR 71913-6480 · Phone (501) 359-3880 · Fax (501) 359-3881
Location 29601 Baptist Health Dr, Suite 690Little Rock, AR 72205-6328 · Phone (501) 227-8422 · Fax (501) 537-2399

Other Identifiers 1

Medicaid210678001AR

Accepted 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

Dr. James Matthew Graham M.d. 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 ID7618281031
PECOS Enrollment IDI20150729009593
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 46

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
3,028 services432 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.
1,260 services933 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
730 services545 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
689 services440 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
327 services303 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
308 services271 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72015 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

97.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40

Reported Quality Measures

Advance Care Plan
36%1,859 patients2/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%253 patients
Melanoma: Coordination of Care
100%81 patients
Psoriasis: Clinical Response to Systemic Medications
100%70 patients
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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
5 MEDICAL PARK DR STE 200
BENTON, AR 72015
Dermatology
5 MEDICAL PARK DR STE 200
BENTON, AR 72015
Dermatology
5 MEDICAL PARK DR STE 200
BENTON, AR 72015

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 1437448594. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is James Graham located?

James Graham practices at 5 Medical Park Dr Ste 200, Benton, AR 72015. The listed phone number is (501) 776-3800.

What is James Graham's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is James Graham enrolled in Medicare?

Yes. James 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.

What insurance does James Graham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers 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 February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.