1. Home
  2. Directory
  3. Michigan
  4. Walker
  5. Family Medicine
  6. NPI Profile

DR. SCOTT FITZGERALD GRAHAM M.D.
NPI 1861452104
Family Medicine in Walker, MI

Active since March 23, 2006PECOS Enrolled
1175 WILSON AVE NW, WALKER, MI 49534(616) 685-8650 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott Fitzgerald Graham M.d. NPPES

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

DR. SCOTT FITZGERALD GRAHAM M.D. (NPI 1861452104) is an individual family medicine provider in Walker, Michigan, licensed in Michigan (4301106753) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861452104
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT FITZGERALD GRAHAMCredential: M.D.
Location Address1175 WILSON AVE NWWalker, MI 49534-6407
Mailing Address6775 Crosswinds Dr NSaint Petersburg, FL 33710-5471 · (727) 381-8006 · Fax (727) 381-9629
Phone(616) 685-8650
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateMay 14, 2021
NPPES CertifiedMay 14, 2021
✔ NPI 1861452104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301106753
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.
1175 WILSON AVE NW, Walker, MI 49534
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Fitzgerald Graham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49534 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Referred Medical Equipment & Supplies CMS DME claims

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
8 suppliers21 claims45 services$5.97 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 20

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

KELSEY BROWN PT
Physical Therapist
1175 WILSON AVE NW
WALKER, MI 49534
Ottawa County (616) 284-3686
TAMI NYSSE NP
Nurse Practitioner (Family)
1175 WILSON AVE NW
WALKER, MI 49534
Ottawa County (616) 685-8650
AUTUMN LUKE
Physical Therapist
1175 WILSON AVE NW
WALKER, MI 49534
Ottawa County (616) 284-3686
DR. BENNETT GEORGE RIDDERING MD
Family Medicine
1175 WILSON AVE NW
WALKER, MI 49534
Ottawa County (616) 685-8650
GABRIELLE ELIZABETH BARRINGER MD
Family Medicine
1175 WILSON AVE NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 685-8650
DR. QURATULAIN A AZIZ MD
Internal Medicine
1175 WILSON AVE NW
WALKER, MI 49534
Ottawa County (616) 685-8650
DEXTER ROBERT MCKELLAR MD
Family Medicine
1175 WILSON AVE NW
WALKER, MI 49534
Ottawa County (616) 685-8650
MARY MARTELL DPT
Physical Therapist
1175 WILSON AVE NW
GRAND RAPIDS, MI 49534
Ottawa County (616) 577-8183

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 Scott Graham's NPI number?

The NPI number for Scott Graham is 1861452104. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Scott Graham located?

Scott Graham practices at 1175 Wilson Ave NW, Walker, MI 49534. The listed phone number is (616) 685-8650.

What is Scott Graham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott Graham enrolled in Medicare?

Yes. Scott Graham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Graham was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.