MATTHEW JOHN GRAHAM PA
NPI 1487066106
Physician Assistant in Lees Summit, MO

Active since May 29, 2014PECOS Enrolled
2741 NE MCBAINE DR, LEES SUMMIT, MO 64064(816) 554-2600 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2022, Jan 26, 2021, May 8, 2017 (3 updates tracked since 2017).

About Matthew John Graham Pa NPPES

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

MATTHEW JOHN GRAHAM PA (NPI 1487066106) is an individual physician assistant in Lees Summit, Missouri, licensed in Arizona (6551) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tempe.

NPPES Registry Identity

NPI1487066106
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW JOHN GRAHAMCredential: PA
Location Address2741 NE MCBAINE DRLees Summit, MO 64064-7880
Mailing Address2741 Ne Mcbaine DrLees Summit, MO 64064-7880
Sole ProprietorNo
Enumeration DateMay 29, 2014
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
NPI 1487066106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 6551
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2741 NE MCBAINE DR, Lees Summit, MO 64064

Secondary Practice Location 1

Location 11705 W University Dr Ste 104Tempe, AZ 85281-3269 · Phone (480) 493-3444

Other Identifiers 1

Medicaid234246AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew John Graham Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64064 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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 3

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

Nurse Practitioner (Family)
2741 NE MCBAINE DR
LEES SUMMIT, MO 64064
Nurse Practitioner
2741 NE MCBAINE DR
LEES SUMMIT, MO 64064
Nurse Practitioner (Family)
2741 NE MCBAINE DR
LEES SUMMIT, MO 64064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487066106, enumerated as an "individual" on May 29, 2014.

The provider is located at 2741 NE MCBAINE DR LEES SUMMIT, MO 64064 and the phone number is (816) 554-2600.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.