DR. ANTONIO ANDRE GRAHAM D.O.
NPI 1619255148
Hospitalist in Decatur, GA

Active since August 02, 2011PECOS EnrolledAccepts Medicare Assignment
69.85/100
CMS Quality Rating
1670 CLAIRMONT RD, DECATUR, GA 30033(781) 724-5348 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2025, Dec 16, 2024, May 23, 2023 and 2 more (5 updates tracked since 2017).

About Dr. Antonio Andre Graham D.o. NPPES

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

DR. ANTONIO ANDRE GRAHAM D.O. (NPI 1619255148) is an individual hospitalist provider in Decatur, Georgia, licensed in Maryland (H79631) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Bayview Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619255148
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ANTONIO ANDRE GRAHAMCredential: D.O.
Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2011
Enumeration DateAugust 2, 2011
Last NPPES UpdateJanuary 2, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
NPI 1619255148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in MD · H79631 Licensed in IL · 036163417
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License H79631 (MD), 077372 (GA), 036163417 (IL)
1670 CLAIRMONT RD, Decatur, GA 30033

Secondary Practice Locations 3

Location 12451 Fillingham Street, Rm 400L, University of South Alabama, Department of Internal MedMobile, AL 36617-2293 · Phone (251) 471-7117
Location 25525 Eastern Ave Ste 201Baltimore, MD 21264-4004 · Phone (443) 703-3600 · Fax (443) 202-1094
Location 34500 Memorial DrBelleville, IL 62226-5360 · Phone (618) 257-6220

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. Antonio Andre Graham D.o. 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 ID2769625334
PECOS Enrollment IDI20150824001004
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.

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.55
Cost68.12

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.

Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Registered Nurse
1670 CLAIRMONT RD
DECATUR, GA 30033
Family Medicine
1670 CLAIRMONT RD
DECATUR, GA 30033
Speech-Language Pathologist
1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033
Internal Medicine (Geriatric Medicine)
1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033
Pharmacist (Pharmacotherapy)
1670 CLAIRMONT RD
DECATUR, GA 30033
Internal Medicine
1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033

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 Antonio Graham's NPI number?

The NPI number for Antonio Graham is 1619255148. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Antonio Graham located?

Antonio Graham practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (781) 724-5348.

What is Antonio Graham's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Antonio Graham enrolled in Medicare?

Yes. Antonio 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 Antonio Graham accept?

Health plans from Alliant Health Plans, Inc. list Antonio 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 Antonio Graham affiliated with any hospitals?

According to CMS data, Antonio Graham is affiliated with Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Antonio Graham was last updated on January 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.