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KENNETH J GRAHAM MD
NPI 1720069875
Pediatrics in Kalispell, MT

Active since November 07, 2005PECOS Enrolled
1273 BURNS WAY, KALISPELL, MT 59901(406) 752-8300(406) 752-3542 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jun 26, 2020, Aug 22, 2017 (3 updates tracked since 2017).

About Kenneth J Graham Md NPPES

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

KENNETH J GRAHAM MD (NPI 1720069875) is an individual pediatrics provider in Kalispell, Montana, licensed in Montana (8169) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720069875
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKENNETH J GRAHAMCredential: MD
Location Address1273 BURNS WAYKalispell, MT 59901-3109
Mailing Address1273 Burns WayKalispell, MT 59901-3109 · (406) 752-8300 · Fax (406) 752-3542
Phone(406) 752-8300
Fax(406) 752-3542
Sole ProprietorNo
Enumeration DateNovember 7, 2005
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
✔ NPI 1720069875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MT · 8169
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.
1273 BURNS WAY, Kalispell, MT 59901
Open in Google Maps ↗

Other Identifiers 1

Medicaid0100572MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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)

Kenneth J 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.

Medicare Billing Reassignment

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

Kalispell Regional Medical Center Inc
Same address
Primary Care
1273 BURNS WAY
Kalispell, MT 59901
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1013272459 (406) 752-8300

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 59901 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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 10

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

KALISPELL REGIONAL MEDICAL CENTER INC
Clinic/Center (Primary Care)
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
HEATHER RILEY CPNP-PC
Nurse Practitioner (Pediatrics)
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
JENNA UPHAM DNP, FNP-BC
Nurse Practitioner (Family)
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
KALISPELL REGIONAL MEDICAL CENTER, INC
Clinic/Center (Primary Care)
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
NORTHWEST MONTANA SURGICAL ASSOCIATES
Surgery
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-5000
LYNN ANN DYKSTRA M.D.
Pediatrics
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
VALERIE ANN BEEBE APRN, BC
Nurse Practitioner (Family)
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300
DR. JOHN COLE M.D.
Pediatrics
1273 BURNS WAY
KALISPELL, MT 59901
Flathead County (406) 752-8300

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 Kenneth Graham's NPI number?

The NPI number for Kenneth Graham is 1720069875. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Kenneth Graham located?

Kenneth Graham practices at 1273 Burns Way, Kalispell, MT 59901. The listed phone number is (406) 752-8300.

What is Kenneth Graham's specialty?

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

Is Kenneth Graham enrolled in Medicare?

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

Which organization bills Medicare for Kenneth Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Graham reassigns Medicare benefits to Kalispell Regional Medical Center Inc (Kalispell, MT). 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 Kenneth Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Graham accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Kenneth 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 Kenneth Graham was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.