DR. JAMES PATRICK MCGRAW MD
NPI 1609863927
Internal Medicine - Cardiovascular Disease in Huntsville, AL

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
84.33/100
CMS Quality Rating
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801(256) 539-4080(256) 539-4099 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. James Patrick Mcgraw Md NPPES

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

DR. JAMES PATRICK MCGRAW MD (NPI 1609863927) is an individual cardiovascular disease provider in Huntsville, Alabama, licensed in Alabama (30665) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1990).

NPPES Registry Identity

NPI1609863927
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JAMES PATRICK MCGRAWCredential: MD
Location Address930 FRANKLIN ST SEHuntsville, AL 35801-4312
Mailing Address930 Franklin St SeHuntsville, AL 35801-4312 · (256) 539-4080 · Fax (256) 539-4099
Fax(256) 539-4099
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1990
Enumeration DateOctober 3, 2005
Last NPPES UpdateNovember 13, 2015
NPI 1609863927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AL · 30665
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
930 FRANKLIN ST SE, Huntsville, AL 35801

Other Identifiers 5

Medicare UPINF54334
Medicaid203629530MO
Medicaid174204AL
Other511-64011AL · Bcbs
Medicare PIN102I060827AL

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

Dr. James Patrick Mcgraw 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 ID6608828777
PECOS Enrollment IDI20150720001173
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 20

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,157 services668 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
666 services539 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
340 services333 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
150 services82 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
95 services75 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
86 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

84.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.96
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Cardiovascular Disease)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Nurse Practitioner (Acute Care)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Cardiovascular Disease)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Clinical Nurse Specialist (Acute Care)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Nurse Practitioner (Family)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Cardiovascular Disease)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Nurse Practitioner
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801

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 James Mcgraw's NPI number?

The NPI number for James Mcgraw is 1609863927. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is James Mcgraw located?

James Mcgraw practices at 930 Franklin St SE, Huntsville, AL 35801. The listed phone number is (256) 539-4080.

What is James Mcgraw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is James Mcgraw enrolled in Medicare?

Yes. James Mcgraw 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 James Mcgraw accept?

Health plans from Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list James Mcgraw 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 James Mcgraw was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.