ROBERT WALLACE GRAHAM D.O.
NPI 1629393160
Emergency Medicine in Council Bluffs, IA

Q: What is Robert Graham's NPI number?

The NPI number for Robert Graham is 1629393160. It was assigned to this individual provider in the NPPES registry on March 27, 2010.

Q: What is Robert Graham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Graham was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 27, 2010PECOS EnrolledAccepts Medicare Assignment

800 MERCY DR, COUNCIL BLUFFS, IA 51503(800) 875-0136(937) 619-4150 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Robert Wallace Graham D.o. NPPES

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

ROBERT WALLACE GRAHAM D.O. (NPI 1629393160) is an individual emergency medicine provider in Council Bluffs, Iowa, licensed in Iowa (4438) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Ogden Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629393160

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameROBERT WALLACE GRAHAMCredential: D.O.

Location Address800 MERCY DRCouncil Bluffs, IA 51503-3128

Mailing Address4750 Hempstead Station DrKettering, OH 45429-5164 · (800) 875-0136 · Fax (937) 619-4150

Phone(800) 875-0136

Fax(937) 619-4150

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 27, 2010

Last NPPES UpdateJune 3, 2013

✔ NPI 1629393160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IA · 4438

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

800 MERCY DR, Council Bluffs, IA 51503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica.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

Robert Wallace 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 ID4981844149

PECOS Enrollment IDI20190702002010

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

40 services39 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

36 services34 patients

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.

23 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Ogden Regional Medical Center

Acute Care Hospitals · Ogden, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460005

Location5475 South 500 EastOgden, UT 84405 · Weber County

Emergency services

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460041

Location1600 West Antelope DriveLayton, UT 84041 · Davis County

Emergency services Birthing friendly

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number460042

Location630 East Medical DriveBountiful, UT 84010 · Davis County

Emergency services

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460051

Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

JENNIFER L ACHENBACH

Nurse Practitioner

800 MERCY DR
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 325-2484

KAYDEN L REILLY PA-C

Physician Assistant

800 MERCY DR
COUNCIL BLUFFS, IA 51503

Pottawattamie County (855) 524-4001

CHRISTOPHER J HOLEWINSKI RP, DO

Hospitalist

800 MERCY DR
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 328-5490

MEGAN N YANK

Emergency Medicine

800 MERCY DR
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 328-5230

BENJAMIN DENICH

Nurse Practitioner (Acute Care)

800 MERCY DR
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 328-5000

EMILY MILES DNP, AGACNP-BC, CCRN

Nurse Practitioner

800 MERCY DR
COUNCIL BLUFFS, IA 51503

Pottawattamie County (855) 524-4001

ALEGENT CREIGHTON CLINIC

Obstetrics & Gynecology

800 MERCY DR, SUITE 210
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 323-9250

TOMMORA A SHAW ARNP

Nurse Practitioner (Adult Health)

800 MERCY DR
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 328-5490

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 Robert Graham's NPI number?

The NPI number for Robert Graham is 1629393160. It was assigned to this individual provider in the NPPES registry on March 27, 2010.

Where is Robert Graham located?

Robert Graham practices at 800 Mercy Dr, Council Bluffs, IA 51503. The listed phone number is (800) 875-0136.

What is Robert Graham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Robert Graham enrolled in Medicare?

Yes. Robert 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 Robert Graham accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Medica list Robert 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 Robert Graham affiliated with any hospitals?

According to CMS data, Robert Graham is affiliated with Ogden Regional Medical Center, Holy Cross Hospital-Davis, Lakeview Hospital and Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Robert Graham was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.