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DR. JAMES MICHAEL GRAHAM M.D., P.H.D.
NPI 1750312989
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in The Woodlands, TX

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
9200 PINECROFT, SUITE 280, THE WOODLANDS, TX 77380(281) 296-9444(281) 419-6788 Get Directions Write a Review

NPPES record last updated: March 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Michael Graham M.d., P.h.d. NPPES

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

DR. JAMES MICHAEL GRAHAM M.D., P.H.D. (NPI 1750312989) is an individual orthopaedic surgery of the spine provider in The Woodlands, Texas, licensed in Texas (G8142) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of Texas Medical School At Houston (1984).

NPPES Registry Identity

NPI1750312989
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. JAMES MICHAEL GRAHAMCredential: M.D., P.H.D.
Location Address9200 PINECROFT, SUITE 280The Woodlands, TX 77380
Mailing Address9200 Pinecroft, Suite 280The Woodlands, TX 77380 · (281) 296-9444 · Fax (281) 419-6788
Phone(281) 296-9444
Fax(281) 419-6788
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1984
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 4, 2009
✔ NPI 1750312989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in TX · G8142
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
9200 PINECROFT, The Woodlands, TX 77380
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Other Names 1

Professional Name (2)Dr. J Michael Graham M.d.

Other Identifiers 3

Medicare UPIN00J10WTX
Medicare UPINE02195TX
Medicare PIN001J10WTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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. James Michael Graham M.d., P.h.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 ID6002969755
PECOS Enrollment IDI20110119001138
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%115 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
83%772 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%47 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
94%672 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%127 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
65%115 patients3/55-star benchmark: 95%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
57%205 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%127 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

URGENT SURGICAL GROUP OF TEXAS INC
Surgery
9200 PINECROFT, SUITE 250
WOODLANDS, TX 77380
Montgomery County (281) 419-8400
WOODLANDS PAIN INSTITUTE PLLC
Pain Medicine (Interventional Pain Medicine)
9200 PINECROFT, STE 455
SHENANDOAH, TX 77380
Montgomery County (281) 292-7246
RAJENDER SYAL M.D. PA
Obstetrics & Gynecology
9200 PINECROFT, SUITE 300
THE WOODLANDS, TX 77380
Montgomery County (281) 364-9898

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 James Graham's NPI number?

The NPI number for James Graham is 1750312989. It was assigned to this individual provider in the NPPES registry on July 5, 2006. The provider is also known as Dr. J Michael Graham M.D..

Where is James Graham located?

James Graham practices at 9200 Pinecroft Suite 280, The Woodlands, TX 77380. The listed phone number is (281) 296-9444.

What is James Graham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is James Graham enrolled in Medicare?

Yes. James 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 James Graham accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list James 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.

Is James Graham affiliated with any hospitals?

According to CMS data, James Graham is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for James Graham was last updated on March 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.