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KERRY WIDDERSHEIM GRAFF M.D.
NPI 1700827375
Family Medicine in Canandaigua, NY

Active since June 08, 2006Opted out of Medicare · through Jan 1, 2028
95.19/100
CMS Quality Rating
502 S MAIN ST, LAKE COUNTRY FAMILY MEDICINE, CANANDAIGUA, NY 14424(585) 394-1875(888) 990-2283 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2022, Dec 17, 2021, Jan 11, 2016 (3 updates tracked since 2016).

About Kerry Widdersheim Graff M.d. NPPES

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

KERRY WIDDERSHEIM GRAFF M.D. (NPI 1700827375) is an individual family medicine provider in Canandaigua, New York, licensed in New York (207638) and active in the NPI registry since June 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700827375
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKERRY WIDDERSHEIM GRAFFCredential: M.D.
Location Address502 S MAIN ST, LAKE COUNTRY FAMILY MEDICINECanandaigua, NY 14424-2242
Mailing Address502 S Main St, Lake Country Family MedicineCanandaigua, NY 14424-2242 · (585) 394-1875 · Fax (888) 990-2283
Phone(585) 394-1875
Fax(888) 990-2283
Sole ProprietorYes
Enumeration DateJune 8, 2006
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1700827375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 207638
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 207638 (NY)
502 S MAIN ST, Canandaigua, NY 14424
Open in Google Maps ↗

Other Names 1

Former Name (1)Kerry Paige Widdersheim M.d.

Other Identifiers 5

Other000921058001NY · Healthnow
Other0520NY · Blueshield
Medicaid02048819NY
OtherP010207638NY · Excellus Bc/bs And Chp
Other101717BFNY · Preferred Care

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kerry Widdersheim Graff M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14424 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims2,160 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,160 services$1.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE COUNTRY FAMILY MEDICINE, P.C.
Family Medicine
502 S MAIN ST, SUITE G
CANANDAIGUA, NY 14424
Ontario County (585) 394-1875

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 Kerry Graff's NPI number?

The NPI number for Kerry Graff is 1700827375. It was assigned to this individual provider in the NPPES registry on June 8, 2006. The provider is also known as Kerry Paige Widdersheim M.D..

Where is Kerry Graff located?

Kerry Graff practices at 502 S Main St Lake Country Family Medicine, Canandaigua, NY 14424. The listed phone number is (585) 394-1875.

What is Kerry Graff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kerry Graff enrolled in Medicare?

No. Kerry Graff has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kerry Graff was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.