GARY F GRAHAM MD
NPI 1811910359
Family Medicine in Roosevelt, UT

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
99.76/100
CMS Quality Rating
210 W 300 N, ROOSEVELT, UT 84066(435) 722-6130 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gary F Graham Md NPPES

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

GARY F GRAHAM MD (NPI 1811910359) is an individual family medicine provider in Roosevelt, Utah, licensed in Utah (343506-1205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Uintah Basin Medical Center, and is a graduate of University Of Virginia School Of Medicine (1996).

NPPES Registry Identity

NPI1811910359
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARY F GRAHAMCredential: MD
Location Address210 W 300 NRoosevelt, UT 84066-2336
Mailing Address210 W 300 NRoosevelt, UT 84066-2336 · (435) 722-6130
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1996
Enumeration DateJuly 25, 2006
Last NPPES UpdateMay 11, 2017
NPI 1811910359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 343506-1205
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

210 W 300 N, Roosevelt, UT 84066

Other Identifiers 4

Medicare UPING63025UT
Medicare UPING63025OH
Medicare PIN000061874UT
Medicaid1811910359UT

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

Gary F Graham Md 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 ID7719870492
PECOS Enrollment IDI20060213000026
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 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.
46 services32 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
33 services31 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services17 patients
Initial hospital inpatient care per day, typically 70 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.
23 services23 patients
Hospital observation care on day of discharge 99217
Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
22 services22 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
22 services12 patients

Hospital Affiliations CMS Care Compare

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

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84066 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

99.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.21

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers51 claims104 services$5.88 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier12 claims720 services$1.67 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers42 claims42 services$42.87 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers37 claims37 services$110.70 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers31 claims60 services$43.17 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers16 claims16 services$64.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner
210 W 300 N
ROOSEVELT, UT 84066
Obstetrics & Gynecology
210 W 300 N
ROOSEVELT, UT 84066
Physician Assistant
210 W 300 N, 75-3
ROOSEVELT, UT 84066
Nurse Practitioner (Family)
210 W 300 N, #75-3
ROOSEVELT, UT 84066
Physician Assistant
210 W 300 N
ROOSEVELT, UT 84066
Podiatrist (Foot & Ankle Surgery)
210 W 300 N
ROOSEVELT, UT 84066
Internal Medicine
210 W 300 N, 75-3
ROOSEVELT, UT 84066
Physician Assistant
210 W 300 N
ROOSEVELT, UT 84066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811910359, enumerated as an "individual" on July 25, 2006.

The provider is located at 210 W 300 N ROOSEVELT, UT 84066 and the phone number is (435) 722-6130.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.

Gary Graham is affiliated with: UINTAH BASIN MEDICAL CENTER.