TERESA ROLEEN GRAHAM MD
NPI 1568526952
Ophthalmology in Klamath Falls, OR

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
94.46/100
CMS Quality Rating
1000 PINE ST, KLAMATH FALLS, OR 97601(541) 883-1998(541) 850-5226 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teresa Roleen Graham Md NPPES

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

TERESA ROLEEN GRAHAM MD (NPI 1568526952) is an individual ophthalmology provider in Klamath Falls, Oregon, licensed in Oregon (MD19413) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and is a graduate of Loma Linda University School Of Medicine (1990).

NPPES Registry Identity

NPI1568526952
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameTERESA ROLEEN GRAHAMCredential: MD
Location Address1000 PINE STKlamath Falls, OR 97601
Mailing Address1000 Pine StKlamath Falls, OR 97601 · (541) 883-1998 · Fax (541) 850-5226
Fax(541) 850-5226
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1990
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 16, 2007
NPI 1568526952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OR · MD19413
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.
1000 PINE ST, Klamath Falls, OR 97601

Other Identifiers 4

OtherXPY185190CA · Medical
Medicare ID-Type UnspecifiedR100532
Medicare UPING01047
Medicaid075085OR

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

Teresa Roleen 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.

PECOS PAC ID749477578
PECOS Enrollment IDI20101206001271
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 13

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.

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.
362 services354 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
170 services104 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
104 services68 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
88 services62 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.
74 services74 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.
41 services40 patients

Hospital Affiliations CMS Care Compare

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

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97601 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

94.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.16
Improvement Activities40
Cost100

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%55 patients5/55-star benchmark: 100%
Cataract Surgery: Difference Between Planned and Final Refraction
99%146 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers17 claims17 services$54.28 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims19 services$62.24 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 3

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

Durable Medical Equipment & Medical Supplies
1000 PINE ST
KLAMATH FALLS, OR 97601
Ophthalmology
1000 PINE ST
KLAMATH FALLS, OR 97601
Family Medicine
1000 PINE ST
KLAMATH FALLS, OR 97601

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 Teresa Graham's NPI number?

The NPI number for Teresa Graham is 1568526952. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Teresa Graham located?

Teresa Graham practices at 1000 Pine St, Klamath Falls, OR 97601. The listed phone number is (541) 883-1998.

What is Teresa Graham's specialty?

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

Is Teresa Graham enrolled in Medicare?

Yes. Teresa 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 Teresa Graham accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Teresa 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.

Is Teresa Graham affiliated with any hospitals?

According to CMS data, Teresa Graham is affiliated with Sky Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Teresa Graham was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.