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DR. JESSICA GRAHAM
NPI 1801989868
Optometrist - Corneal and Contact Management in Riverton, UT

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
4019 W 12600 SOUTH, SUITE #110, RIVERTON, UT 84096(801) 302-9482(801) 302-5532 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jessica Graham NPPES

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

DR. JESSICA GRAHAM (NPI 1801989868) is an individual corneal and contact management provider in Riverton, Utah, licensed in Utah (5267304-8904) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2002).

NPPES Registry Identity

NPI1801989868
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameDR. JESSICA GRAHAM
Location Address4019 W 12600 SOUTH, SUITE #110Riverton, UT 84096
Mailing Address4019 W 12600 S, #110Riverton, UT 84096 · (801) 302-9482 · Fax (801) 302-5532
Phone(801) 302-9482
Fax(801) 302-5532
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2002
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1801989868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in UT · 5267304-8904
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X · License 5267304-9934 (UT)

Other Identifiers 4

Other84414UT · Pehp
Other868724UT · Deseret Mutual Benefit Ad
Other52673049901001UT · Bcbs Id #
OtherH870369 0819UT · Group & Pension Adm.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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 and accepts Medicare assignment

Dr. Jessica 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 ID9032149992
PECOS Enrollment IDI20050822000134
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 Reassignments

3

Medicare enrollment records show Jessica Graham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Esplin Eye Center LLC
Optometrist
59 S 400 W
Spanish Fork, UT 84660
  • Reassigned Medicare billing, Utah enrollment
  • 4 clinicians in this Medicare group
NPI 1649245333 (801) 794-3937
Myeyedr Optometry Of Washington, PLLC
Optometrist
4019 W 12600 S STE 110
Riverton, UT 84096
  • Reassigned Medicare billing, Utah enrollment
  • 5 clinicians in this Medicare group
NPI 1043189699 (801) 302-9482
Total Vision Care, LLC
Optometrist
4019 W 12600 S, SUITE 110
Riverton, UT 84096
  • Reassigned Medicare billing, Utah enrollment
  • 2 clinicians in this Medicare group
NPI 1649460668 (801) 302-9482

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
72 services70 patients
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.
61 services61 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84096 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES

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

MARK R ELKINS DPM
Podiatrist
4019 W 12600 SOUTH, SUITE 120
RIVERTON, UT 84096
Salt Lake County (801) 253-6886

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 Jessica Graham's NPI number?

The NPI number for Jessica Graham is 1801989868. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Jessica Graham located?

Jessica Graham practices at 4019 W 12600 South Suite #110, Riverton, UT 84096. The listed phone number is (801) 302-9482.

What is Jessica Graham's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Jessica Graham enrolled in Medicare?

Yes. Jessica 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.

Which organizations bill Medicare for Jessica Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Graham reassigns Medicare benefits to 3 organizations: Esplin Eye Center LLC (Spanish Fork, UT), Myeyedr Optometry Of Washington, PLLC (Riverton, UT) and Total Vision Care, LLC (Riverton, UT). Each 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 Jessica Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Graham accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Jessica 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 Jessica Graham was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.