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MICHAEL WILLIAM GRAHAM M.D.
NPI 1811429095
Internal Medicine - Pulmonary Disease in Youngstown, OH

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512(330) 758-7575(330) 758-1833 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2023, Nov 10, 2021, Aug 26, 2017 and 2 more (5 updates tracked since 2017).

About Michael William Graham M.d. NPPES

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

MICHAEL WILLIAM GRAHAM M.D. (NPI 1811429095) is an individual pulmonary disease provider in Youngstown, Ohio, licensed in Michigan (1790868297) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (2017).

NPPES Registry Identity

NPI1811429095
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL WILLIAM GRAHAMCredential: M.D.
Location Address925 TRAILWOOD DRYoungstown, OH 44512-5008
Mailing Address925 Trailwood DrYoungstown, OH 44512-5008 · (330) 758-7575 · Fax (330) 758-1833
Phone(330) 758-7575
Fax(330) 758-1833
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateDecember 8, 20235 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1811429095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MI · 1790868297
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
925 TRAILWOOD DR, Youngstown, OH 44512
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Michael William 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 ID9638449580
PECOS Enrollment IDI20240530000944
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
118 services62 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
78 services28 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.
55 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services48 patients
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.
38 services38 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 11

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

DR. GHAZALEH BIGDELI M.D.
Internal Medicine (Critical Care Medicine)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Mahoning County (330) 758-7575
DR. ALAN J CROPP M.D.
Internal Medicine (Pulmonary Disease)
925 TRAILWOOD DR, BOX 14130
YOUNGSTOWN, OH 44512
Mahoning County (330) 758-7575
THERESA SANDERBECK-BARONE CNP
Nurse Practitioner (Adult Health)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Mahoning County (330) 758-7575
BRYAN VEYNOVICH DO
Internal Medicine (Critical Care Medicine)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Mahoning County (330) 758-7575
DEBORAH J NICHOLS C-NP
Nurse Practitioner (Adult Health)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Mahoning County (330) 758-7575
PULMONARY MEDICINE CONSULTANTS
Internal Medicine (Pulmonary Disease)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Mahoning County (330) 758-7575
MICHELE A IERACI NP-C
Nurse Practitioner
925 TRAILWOOD DR
BOARDMAN, OH 44512
Mahoning County (330) 758-7575
MRS. KARA ALLISON GRIFFITH CNP
Nurse Practitioner (Family)
925 TRAILWOOD DR
YOUNGSTOWN, OH 44512
Mahoning County (550) 758-7575

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 Michael Graham's NPI number?

The NPI number for Michael Graham is 1811429095. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Michael Graham located?

Michael Graham practices at 925 Trailwood Dr, Youngstown, OH 44512. The listed phone number is (330) 758-7575.

What is Michael Graham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Graham enrolled in Medicare?

Yes. Michael 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 Michael Graham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Michael 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 Michael Graham affiliated with any hospitals?

According to CMS data, Michael Graham is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Michael Graham was last updated on December 8, 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.