DR. BLAKE D GRAHAM MD
NPI 1639130180
Pediatrics in Ft Carson, CO
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Blake D Graham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Blake Graham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denver, CO 80202
- Reassigned Medicare billing, Colorado enrollment
- 90 clinicians in this Medicare group
Aspen, CO 81611
- Reassigned Medicare billing, Colorado enrollment
- 163 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 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.
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.
FORT CARSON, CO 80913
FORT CARSON, CO 80913
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.
Which organizations bill Medicare for Blake Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Graham reassigns Medicare benefits to 2 organizations: Alpine Medical Group Colorado PLLC (Denver, CO) and Valley View Hospital Association (Aspen, CO). 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 Blake Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Blake D Graham, MD · NPI 1639130180
Pediatrics physician in Ft Carson, Colorado. Individual provider, active in the CMS NPPES registry since March 31, 2006.
## Identity
- **NPI:** 1639130180 (Entity type: Individual)
- **Enumerated:** March 31, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** DR.0054808 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 COCHRANE CIR, PEDIATRICS, Ft Carson, CO 80913-4603
- **Phone:** (719) 526-7653
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alpine Medical Group Colorado PLLC (NPI 1104501873, Denver, CO); Valley View Hospital Association (NPI 1376134841, Aspen, CO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1639130180) · Data from the CMS NPPES public registry.