WYATT MATTHEW GRAHAM MD
NPI 1558979476
Family Medicine in Davis, CA
About Wyatt Matthew Graham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYATT MATTHEW GRAHAM MD (NPI 1558979476) is an individual family medicine provider in Davis, California, licensed in California (A189366) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Wyatt Matthew Graham 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Wyatt Graham's NPI number?
The NPI number for Wyatt Graham is 1558979476. It was assigned to this individual provider in the NPPES registry on July 16, 2020.
Where is Wyatt Graham located?
Wyatt Graham practices at 2030 Sutter Pl, Davis, CA 95616. The listed phone number is (530) 750-7210.
What is Wyatt Graham's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wyatt Graham enrolled in Medicare?
Yes. Wyatt 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.
When was this NPI record last updated?
The NPPES record for Wyatt Graham was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Wyatt Matthew Graham, MD · NPI 1558979476
Family Medicine physician in Davis, California. Individual provider, active in the CMS NPPES registry since July 16, 2020.
## Identity
- **NPI:** 1558979476 (Entity type: Individual)
- **Enumerated:** July 16, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A189366 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2030 SUTTER PL, Davis, CA 95616-6212
- **Phone:** (530) 750-7210
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558979476) · Data from the CMS NPPES public registry.