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NEVILLE J GRAHAM MD
NPI 1861591620
Obstetrics & Gynecology in Hartford, CT

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
111 PARK ST, HARTFORD, CT 06106(860) 972-2780 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Neville J Graham Md NPPES

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

NEVILLE J GRAHAM MD (NPI 1861591620) is an individual obstetrics & gynecology provider in Hartford, Connecticut, licensed in Connecticut (027469) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1983).

NPPES Registry Identity

NPI1861591620
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameNEVILLE J GRAHAMCredential: MD
Location Address111 PARK STHartford, CT 06106-2520
Mailing Address111 Park StHartford, CT 06106-2520 · (609) 722-7808
Phone(860) 972-2780
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1983
Enumeration DateSeptember 21, 2006
Last NPPES UpdateDecember 8, 2022
NPPES CertifiedDecember 8, 2022
✔ NPI 1861591620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CT · 027469
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
111 PARK ST, Hartford, CT 06106
Open in Google Maps ↗

Other Identifiers 1

Medicaid001274696CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Neville J 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 ID2365588977
PECOS Enrollment IDI20091013000597
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 Reassignment

Medicare enrollment records show Neville Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hartford Hospital
0.2 mi
General Acute Care Hospital
80 SEYMOUR ST
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,333 clinicians in this Medicare group
NPI 1770696643 (860) 696-6010

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
93%653 patients5/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
98%1,227 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
92%1,531 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,255 patients
97%1,255 patients4/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 14

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

LAURA CHENG MD
Student in an Organized Health Care Education/Training Program
111 PARK ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-2780
DILLON PAULO MD
Obstetrics & Gynecology
111 PARK ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-2780
ALYSSA L PILKINGTON PA-C
Physician Assistant (Medical)
111 PARK ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-2780
DR. MELODY SO MD
Student in an Organized Health Care Education/Training Program
111 PARK ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-3177
SHOBA MONTESERIN NARAYANA CNM
Midwife
111 PARK ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-3179
HELEN ZHAO MD
Student in an Organized Health Care Education/Training Program
111 PARK ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-2780
NATALI R SENOCAK MD
Obstetrics & Gynecology
111 PARK ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-2780
DR. YVONNE GOMEZ-CARRION M.D.
Obstetrics & Gynecology
111 PARK ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-2780

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 Neville Graham's NPI number?

The NPI number for Neville Graham is 1861591620. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Neville Graham located?

Neville Graham practices at 111 Park St, Hartford, CT 06106. The listed phone number is (860) 972-2780.

What is Neville Graham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Neville Graham enrolled in Medicare?

Yes. Neville 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 organization bills Medicare for Neville Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neville Graham reassigns Medicare benefits to Hartford Hospital (Hartford, CT). The 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 Neville Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neville Graham accept?

Health plans from Anthem Blue Cross and Blue Shield list Neville 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 Neville Graham was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.