DR. DANA F GRAICHEN M.D.
NPI 1831176312
Ophthalmology in Sanford, ME

Q: What is Dana Graichen's NPI number?

The NPI number for Dana Graichen is 1831176312. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Q: What is Dana Graichen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Dana Graichen was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

272 COTTAGE ST, SANFORD, ME 04073(603) 436-1773(603) 427-0655 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2026, Jun 29, 2020 (2 updates tracked since 2020).

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About Dr. Dana F Graichen M.d. NPPES

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

DR. DANA F GRAICHEN M.D. (NPI 1831176312) is an individual ophthalmology provider in Sanford, Maine, licensed in Maine (013866) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1983).

NPPES Registry Identity

NPI1831176312

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. DANA F GRAICHENCredential: M.D.

Location Address272 COTTAGE STSanford, ME 04073-1815

Mailing Address272 Cottage StSanford, ME 04073-1815 · (603) 436-1773 · Fax (603) 427-0655

Phone(603) 436-1773

Fax(603) 427-0655

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 1983

Enumeration DateDecember 27, 2005

Last NPPES UpdateApril 28, 20262 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1831176312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in ME · 013866✔ Licensed in NH · 9375

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

272 COTTAGE ST, Sanford, ME 04073

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Other Identifiers 2

Medicaid129040000ME

Medicaid30009239NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care 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

Dr. Dana F Graichen 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 ID9133156821

PECOS Enrollment IDI20050725000725, I20060117000518

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

4,320 services18 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,215 services457 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

505 services91 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

431 services186 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.

430 services318 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

429 services117 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04073 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

100%463 patients5/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

93%57 patients5/55-star benchmark: 87%

Diabetes: Eye Exam

100%284 patients5/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

100%63 patients

Documentation of Current Medications in the Medical Record

100%3,517 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%1,143 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

86%125 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 760 patients

Patients screened: 100% · 760 patients

81%54 patients4/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%89 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,179 patients

Patients totalRate: 0% · 1,179 patients

0%1,179 patients5/55-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.

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Other Providers at the Same Location NPPES 18

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

KELSEY WILSON OD

Optometrist