ALTHEA GRAHAM
NPI 1730734146
Nurse Practitioner - Family in Rockville, MD

Active since August 03, 2019PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
7955 TUCKERMAN LN, ROCKVILLE, MD 20854(301) 299-3717 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2020, Aug 3, 2019 (2 updates tracked since 2019).

About Althea Graham NPPES

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

ALTHEA GRAHAM (NPI 1730734146) is an individual family provider in Rockville, Maryland, licensed in Maryland (R161879) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1730734146
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALTHEA GRAHAM
Location Address7955 TUCKERMAN LNRockville, MD 20854-3243
Mailing Address7955 Tuckerman LnRockville, MD 20854-3243 · (301) 299-3717
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 3, 2019
Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
NPI 1730734146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MD · R161879 Licensed in VA · 0024179074 Licensed in WV · 120545 Licensed in NY · 355479 Licensed in GA · GAANP002542 Licensed in WI · 15810-33 Licensed in SD · CP003335 Licensed in PA · SP032563 Licensed in NJ · 26NJ15135400 Licensed in ND · 200765 Licensed in SC · 29217A Licensed in CT · 224096 Licensed in NC · 5020870
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 406521 (NY)
7955 TUCKERMAN LN, Rockville, MD 20854

Accepted 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

Althea Graham 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 ID8921338831
PECOS Enrollment IDI20190919001284, I20241001002072, I20241223001651
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 10

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
171 services165 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services35 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
28 services28 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
23 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services20 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20854 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

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.

Nurse Practitioner (Family)
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Nurse Practitioner (Family)
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Nurse Practitioner (Family)
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Pharmacy
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Nurse Practitioner (Family)
7955 TUCKERMAN LN
ROCKVILLE, MD 20854
Pharmacist
7955 TUCKERMAN LN
POTOMAC, MD 20854
Pharmacist
7955 TUCKERMAN LN
POTOMAC, MD 20854
Pharmacist
7955 TUCKERMAN LN
ROCKVILLE, MD 20854

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 Althea Graham's NPI number?

The NPI number for Althea Graham is 1730734146. It was assigned to this individual provider in the NPPES registry on August 3, 2019.

Where is Althea Graham located?

Althea Graham practices at 7955 Tuckerman Ln, Rockville, MD 20854. The listed phone number is (301) 299-3717.

What is Althea Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Althea Graham enrolled in Medicare?

Yes. Althea 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 Althea Graham accept?

Health plans from Blue Cross and Blue Shield of NC list Althea 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 Althea Graham was last updated on October 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.