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DR. BLAKE D GRAHAM MD
NPI 1639130180
Pediatrics in Ft Carson, CO

Active since March 31, 2006PECOS Enrolled
1650 COCHRANE CIR, PEDIATRICS, FT CARSON, CO 80913(719) 526-7653 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Feb 4, 2022, Mar 31, 2016 (2 updates tracked since 2016).

About Dr. Blake D Graham Md NPPES

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

DR. BLAKE D GRAHAM MD (NPI 1639130180) is an individual pediatrics provider in Ft Carson, Colorado, licensed in Colorado (DR.0054808) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639130180
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BLAKE D GRAHAMCredential: MD
Location Address1650 COCHRANE CIR, PEDIATRICSFt Carson, CO 80913-4603
Mailing Address1650 Cochrane CirColorado Springs, CO 80913-4613 · (719) 526-9085
Phone(719) 526-7653
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1639130180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CO · DR.0054808✔ Licensed in UT · 274742-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1650 COCHRANE CIR, Ft Carson, CO 80913
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blake D Graham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80913 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

SARAH GOSS MD
Emergency Medicine
1650 COCHRANE CIR
FORT CARRSON, CO 80913
El Paso County (719) 526-5231
MATTHEW NILAN D.O.
Emergency Medicine
1650 COCHRANE CIR
FORT CARSON, CO 80913
El Paso County (719) 728-0869
MRS. HEATHER ANN NEWMAN CRNA
Nurse Anesthetist, Certified Registered
1650 COCHRANE CIR
FORT CARSON, CO 80913
El Paso County (719) 526-7943
DR. DEANNA E. DURAN DPM
Podiatrist (Foot & Ankle Surgery)
1650 COCHRANE CIR
FORT CARSON, CO 80913
El Paso County (443) 610-0436
JEREMY KENNETH BETTERS PA
Physician Assistant
1650 COCHRANE CIR
FORT CARSON, CO 80913
El Paso County (719) 526-9934
BRENNA ANN SPELLISSY OTR
Occupational Therapist
1650 COCHRANE CIR
COLORADO SPRINGS, CO 80913
El Paso County (719) 526-7000
JOYCE MAE FRANCHS
Registered Nurse
1650 COCHRANE CIR
FORT CARSON, CO 80913
El Paso County (719) 526-7649
BRENT V. NELSON D.O.
Family Medicine (Adolescent Medicine)
1650 COCHRANE CIR, ADOLESCENT MEDICINE USA MEDDAC, EACH,
FORT CARSON, CO 80913
El Paso County (719) 526-7226

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 Blake Graham's NPI number?

The NPI number for Blake Graham is 1639130180. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Blake Graham located?

Blake Graham practices at 1650 Cochrane Cir Pediatrics, Ft Carson, CO 80913. The listed phone number is (719) 526-7653.

What is Blake Graham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Blake Graham enrolled in Medicare?

Yes. Blake Graham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blake Graham was last updated on February 4, 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.