DONALD DEAN GRAHAM JR. MD
NPI 1497737621
Internal Medicine - Pulmonary Disease in Boone, NC

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment

93.24/100

CMS Quality Rating

148 HIGHWAY 105 EXT, SUITE 104, BOONE, NC 28607(336) 386-2746(336) 386-2750 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Donald Dean Graham Jr. Md NPPES

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

DONALD DEAN GRAHAM JR. MD (NPI 1497737621) is an individual pulmonary disease provider in Boone, North Carolina, licensed in North Carolina (9401410) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Watauga Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1988).

NPPES Registry Identity

NPI1497737621

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDONALD DEAN GRAHAM JR.Credential: MD

Location Address148 HIGHWAY 105 EXT, SUITE 104Boone, NC 28607-5681

Mailing Address148 Highway 105 Ext, Suite 104Boone, NC 28607-5681 · (336) 386-2746 · Fax (336) 386-2750

Phone(336) 386-2746

Fax(336) 386-2750

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1988

Enumeration DateNovember 15, 2005

Last NPPES UpdateMarch 20, 2017

✔ NPI 1497737621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NC · 9401410

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 9401410 (NC)

148 HIGHWAY 105 EXT, Boone, NC 28607

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Other Identifiers 3

Medicare PIN2204556CNC

Medicare UPINF52134

Medicaid8936641NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Donald Dean Graham Jr. Md 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 ID9436101086

PECOS Enrollment IDI20050211000565

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 19

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.

501 services304 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

292 services284 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

251 services235 patients

New patient office or other outpatient visit, 45-59 minutes 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.

131 services131 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

130 services120 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

129 services112 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

42 services40 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

42 services40 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

38 services38 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

31 services28 patients

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296

This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.

29 services29 patients

New patient office or other outpatient visit, 60-74 minutes 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

28 services28 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

24 services24 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

22 services21 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

22 services21 patients

Evaluation of use of breathing device 94664

The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.

20 services20 patients

Test to measure expiratory airflow and volume 94010

18 services17 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

13 services13 patients

New patient office or other outpatient visit, 30-44 minutes 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Watauga Medical Center

Acute Care Hospitals · Boone, NC

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340051

Location336 Deerfield RoadBoone, NC 28607 · Watauga County

Emergency services Birthing friendly

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341323

Location434 Hospital DriveLinville, NC 28646 · Avery County

Emergency services

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341325

Location200 Hospital AveJefferson, NC 28640 · Ashe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

93.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Quality

83.24

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 31

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

3 suppliers36 claims141 services$19.51 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers16 claims16 services$44.33 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

7 suppliers84 claims167 services$1.67 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

3 suppliers24 claims24 services$17.21 avg. paid by Medicare

Filter, disposable, used with aerosol compressor or ultrasonic generator A7013

DME-Other DME · category DE000N

2 suppliers12 claims12 services$0.59 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

5 suppliers15 claims17 services$1.47 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers31 claims31 services$111.87 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers41 claims114 services$42.63 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers17 claims17 services$71.11 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers26 claims26 services$22.94 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers27 claims27 services$20.33 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers53 claims264 services$3.00 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers24 claims24 services$12.19 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

10 suppliers503 claims510 services$19.91 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

6 suppliers74 claims74 services$916.26 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier26 claims26 services$17.32 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

8 suppliers235 claims241 services$7.59 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers21 claims21 services$48.29 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

12 suppliers903 claims908 services$112.47 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers122 claims122 services$37.54 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333

DME-Other DME · category DE000N

4 suppliers16 claims16 services$45.00 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

3 suppliers25 claims8,160 services$9.47 avg. paid by Medicare

Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier11 claims440 services$35.73 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers47 claims2,820 services$4.57 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

5 suppliers151 claims8,790 services$6.45 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

9 suppliers74 claims12,116 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

7 suppliers135 claims13,440 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers162 claims9,456 services$0.81 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

5 suppliers53 claims299,250 services$0.15 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

3 suppliers36 claims144 services$2.42 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

14 suppliers378 claims378 services$25.01 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 2

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

RICHARD REY STARK M.D.

Internal Medicine

148 HIGHWAY 105 EXT, SUITE 104
BOONE, NC 28607

Watauga County (828) 386-2746

DR. JAMES W LOGAN MD

Internal Medicine (Rheumatology)

148 HIGHWAY 105 EXT, SUITE 104
BOONE, NC 28607

Watauga County (828) 386-2746

DONALD DEAN GRAHAM JR. MD
NPI 1497737621
Internal Medicine - Pulmonary Disease in Boone, NC

About Donald Dean Graham Jr. Md NPPES

NPPES Registry Identity

Specialties & Licenses 2

Other Identifiers 3

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 19

Hospital Affiliations CMS Care Compare 3

Watauga Medical Center

Charles A Cannon Jr Memorial Hospital

Ashe Memorial Hospital

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Referred Medical Equipment & Supplies CMS DME claims 31

Other Providers at the Same Location NPPES 2

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