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DR. DEJON GRAVES DMD
NPI 1649603341
Dentist - General Practice in Somerset, KY

Active since August 16, 2013PECOS Enrolled
515 OGDEN ST, SUITE B, SOMERSET, KY 42501(606) 679-4391 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Dejon Graves Dmd NPPES

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

DR. DEJON GRAVES DMD (NPI 1649603341) is an individual general practice provider in Somerset, Kentucky, licensed in Kentucky (9369) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649603341
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DEJON GRAVESCredential: DMD
Location Address515 OGDEN ST, SUITE BSomerset, KY 42501-1735
Mailing Address515 Ogden St, Suite BSomerset, KY 42501-1735 · (606) 679-4391
Phone(606) 679-4391
Sole ProprietorNo
Enumeration DateAugust 16, 2013
✔ NPI 1649603341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 9369
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
515 OGDEN ST, Somerset, KY 42501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dejon Graves Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Dejon Graves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Kentucky
64 mi
General Practice
2195 HARRODSBURG RD STE 175
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1194852582 (859) 257-9272

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 42501 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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 Dejon Graves's NPI number?

The NPI number for Dejon Graves is 1649603341. It was assigned to this individual provider in the NPPES registry on August 16, 2013.

Where is Dejon Graves located?

Dejon Graves practices at 515 Ogden St Suite B, Somerset, KY 42501. The listed phone number is (606) 679-4391.

What is Dejon Graves's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Dejon Graves enrolled in Medicare?

Yes. Dejon Graves is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dejon Graves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dejon Graves reassigns Medicare benefits to University Of Kentucky (Lexington, KY). The 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 Dejon Graves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dejon Graves accept?

Health plans from Antidote Health Plan of Ohio, Inc., BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Dejon Graves 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 Dejon Graves was last updated on August 16, 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.