ERNESTO J F GRAHAM MD
NPI 1598706533
Obstetrics & Gynecology in Raleigh, NC

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-3100 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2022, Dec 22, 2021, Jan 11, 2021 (3 updates tracked since 2021).

About Ernesto J F Graham Md NPPES

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

ERNESTO J F GRAHAM MD (NPI 1598706533) is an individual obstetrics & gynecology provider in Raleigh, North Carolina, licensed in North Carolina (9601329) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1598706533
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameERNESTO J F GRAHAMCredential: MD
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505
Mailing AddressPo Box 296Bryson City, NC 28713-0296 · (910) 421-0010 · Fax (828) 538-4441
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 7, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1598706533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 9601329
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4420 LAKE BOONE TRL, Raleigh, NC 27607

Secondary Practice Location 1

Location 11521 Owen Park LnFayetteville, NC 28304-3454 · Phone (910) 223-7420

Other Identifiers 2

Medicaid89127KANC
Other127K4NC · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ernesto J F 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 ID6709940596
PECOS Enrollment IDI20221202002697
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ernesto Graham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
4420 LAKE BOONE TRL
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 701 clinicians in this Medicare group
Obstetrics & Gynecology
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Obhg North Carolina PC
  • 196 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 190 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607

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 Ernesto Graham's NPI number?

The NPI number for Ernesto Graham is 1598706533. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Ernesto Graham located?

Ernesto Graham practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3100.

What is Ernesto Graham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ernesto Graham enrolled in Medicare?

Yes. Ernesto 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.

Which organizations bill Medicare for Ernesto Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ernesto Graham reassigns Medicare benefits to 3 organizations: North Carolina Mg, LLC (Raleigh, NC), Obhg North Carolina, P.C. (Charlotte, NC) and Obhg South Carolina PC (Greenville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ernesto Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ernesto Graham accept?

Health plans from Blue Cross and Blue Shield of NC list Ernesto 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.

When was this NPI record last updated?

The NPPES record for Ernesto Graham was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.