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DR. LISA S GRAHAM M.D.
NPI 1720059603
Ophthalmology in Duluth, MN

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
5007 MATTERHORN DRIVE, DULUTH, MN 55811(218) 720-3553(218) 786-9375 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa S Graham M.d. NPPES

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

DR. LISA S GRAHAM M.D. (NPI 1720059603) is an individual ophthalmology provider in Duluth, Minnesota, licensed in Wisconsin (42312-20) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1720059603
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. LISA S GRAHAMCredential: M.D.
Location Address5007 MATTERHORN DRIVEDuluth, MN 55811-3812
Mailing Address5007 Matterhorn DriveDuluth, MN 55811-3812 · (218) 720-3553 · Fax (218) 786-9375
Phone(218) 720-3553
Fax(218) 786-9375
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 30, 2006
Last NPPES UpdateAugust 23, 2010
✔ NPI 1720059603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in WI · 42312-20✔ Licensed in WI · 42312
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5007 MATTERHORN DRIVE, Duluth, MN 55811
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Other Names 1

Former Name (1)Lisa S. Macdonald Md

Other Identifiers 6

Medicare UPING35008
Medicare PIN180001346MN
Medicaid837658100MN
Medicaid33333100WI
Medicare UPING35008WI
Medicare ID-Type Unspecified000452485WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan and more.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

Dr. Lisa S Graham M.d. 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 ID7810068392
PECOS Enrollment IDI20080611000854
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 11

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
374 services358 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
145 services141 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
122 services96 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
92 services49 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
55 services50 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability97
Improvement Activities40
Cost69.54

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 Lisa Graham's NPI number?

The NPI number for Lisa Graham is 1720059603. It was assigned to this individual provider in the NPPES registry on January 30, 2006. The provider is also known as Lisa S. Macdonald MD.

Where is Lisa Graham located?

Lisa Graham practices at 5007 Matterhorn Drive, Duluth, MN 55811. The listed phone number is (218) 720-3553.

What is Lisa Graham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lisa Graham enrolled in Medicare?

Yes. Lisa 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 Lisa Graham accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Lisa 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.

When was this NPI record last updated?

The NPPES record for Lisa Graham was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.