KENNETH B GRAHAM
NPI 1457464778
Ophthalmology in Great Neck, NY

Q: What is Kenneth Graham's NPI number?

The NPI number for Kenneth Graham is 1457464778. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Kenneth Graham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Graham was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

600 NORTHERN BLVD, SUITE 216, GREAT NECK, NY 11021(516) 466-0390(516) 829-0520 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Oct 8, 2021, Nov 25, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Kenneth B Graham NPPES

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

KENNETH B GRAHAM (NPI 1457464778) is an individual ophthalmology provider in Great Neck, New York, licensed in New York (224987) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1457464778

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameKENNETH B GRAHAM

Location Address600 NORTHERN BLVD, SUITE 216Great Neck, NY 11021

Mailing Address600 Northern Blvd, Suite 216Great Neck, NY 11021 · (516) 466-0390 · Fax (516) 829-0520

Phone(516) 466-0390

Fax(516) 829-0520

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateAugust 17, 2006

Last NPPES UpdateApril 8, 20264 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1457464778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 224987

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

600 NORTHERN BLVD, Great Neck, NY 11021

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Other Identifiers 1

Medicaid02291707NY

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

Kenneth B Graham 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 ID4688645096

PECOS Enrollment IDI20040802000139

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 20

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

33,300 services151 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

4,362 services1,684 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

2,862 services751 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

2,412 services335 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

1,679 services959 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

875 services657 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.

850 services637 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

683 services524 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

471 services382 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

322 services17 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

164 services161 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

158 services158 patients

Unclassified drugs J3490

Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.

147 services103 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

134 services117 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.

125 services125 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

66 services43 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

43 services20 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

29 services22 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.

24 services24 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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

Quality

100

Promoting Interoperability

100

Improvement Activities

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.

MICHELLE STEWART PA-C

Physician Assistant (Surgical)

600 NORTHERN BLVD, SUITE 300
GREAT NECK, NY 11021

Nassau County (516) 627-8717

THE OTOLARYNGOLOGY AND FACIAL PLASTICS CENTER

Specialist

600 NORTHERN BLVD, SUITE 100
GREAT NECK, NY 11021

Nassau County (516) 428-3223

RICHARD J DAGOSTINO MD

Orthopaedic Surgery

600 NORTHERN BLVD, STE 300
GREAT NECK, NY 11021

Nassau County (516) 627-8717

DR. JOHN MICHAEL COSTABLE JR. MD

Internal Medicine (Gastroenterology)

600 NORTHERN BLVD, STE 106
GREAT NECK, NY 11021

Nassau County (516) 466-6075

SOPHIA CHUNYUN WANG L.AC

Acupuncturist

600 NORTHERN BLVD, SUITE 109
GREAT NECK, NY 11021

Nassau County (516) 543-3518

DR. MADISON EVE WEISS MD

Student in an Organized Health Care Education/Training Program

600 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (516) 465-8460

DR. LAURENCE D. HABER M.D.

Psychiatry & Neurology (Neurology)

600 NORTHERN BLVD, SUITE 118
GREAT NECK, NY 11021

Nassau County (516) 498-1122

VINCENT A DERAMO MD

Ophthalmology

600 NORTHERN BLVD, SUITE 216
GREAT NECK, NY 11021

Nassau County (516) 466-0390

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 Kenneth Graham's NPI number?

The NPI number for Kenneth Graham is 1457464778. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Kenneth Graham located?

Kenneth Graham practices at 600 Northern Blvd Suite 216, Great Neck, NY 11021. The listed phone number is (516) 466-0390.

What is Kenneth Graham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kenneth Graham enrolled in Medicare?

Yes. Kenneth 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.

Is Kenneth Graham affiliated with any hospitals?

According to CMS data, Kenneth Graham is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Graham was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.