DR. GRAHAM BALUH M.D.
NPI 1881072148
Surgery in Fort Sam Houston, TX

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 916-7500 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, Sep 26, 2022, Aug 27, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Graham Baluh M.d. NPPES

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

DR. GRAHAM BALUH M.D. (NPI 1881072148) is an individual surgery provider in Fort Sam Houston, Texas, licensed in Oklahoma (32679) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Jamestown Regional Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (2015).

NPPES Registry Identity

NPI1881072148
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GRAHAM BALUHCredential: M.D.
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2015
Enumeration DateMay 7, 2015
Last NPPES UpdateMay 6, 20265 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1881072148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 32679
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 32679 (OK)
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Accepted 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

Dr. Graham Baluh 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 ID3779950852
PECOS Enrollment IDI20230908003263, I20240116001703, I20240131004814
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 Reassignments

7

Medicare enrollment records show Graham Baluh reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1100 HIGHWAY 71 S STE 101
Hot Springs, SD 57747
  • Reassigned Medicare billing, South Dakota enrollment
  • 321 clinicians in this Medicare group
Family Medicine
112 7TH AVENUE
Wall, SD 57790
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
Multi-Specialty
2422 20TH ST SW
Jamestown, ND 58401
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1548256753 (North Dakota)
  • 95 clinicians in this Medicare group
2,424 mi
Diagnostic Radiology
3100 TONGASS AVE
Ketchikan, AK 99901
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1396705539 (Alaska)
  • 156 clinicians in this Medicare group
Surgery
3268 HOSPITAL DR STE A
Juneau, AK 99801
  • Reassigned Medicare billing, Alaska enrollment
  • 28 clinicians in this Medicare group
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
Critical Access
4300 BARTLETT ST
Homer, AK 99603
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1679566269 (Alaska)
  • 82 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Jamestown Regional Medical Center

Critical Access Hospitals · Jamestown, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number351335
Location2422 20th St SWJamestown, ND 58401 · Stutsman County
Emergency services Birthing friendly

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Graham Baluh's NPI number?

The NPI number for Graham Baluh is 1881072148. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Graham Baluh located?

Graham Baluh practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-7500.

What is Graham Baluh's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Graham Baluh enrolled in Medicare?

Yes. Graham Baluh 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 organizations bill Medicare for Graham Baluh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Graham Baluh reassigns Medicare benefits to 7 organizations: Monument Health Network, Inc. (Hot Springs, SD), Monument Health Rapid City Hospital, Inc. (Wall, SD), Lutheran Charity Association (Jamestown, ND), Peacehealth (Ketchikan, AK), Bartlett Regional Hospital (Juneau, AK) and 2 more organizations, listed in the Medicare section above. Each 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 Graham Baluh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Graham Baluh accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Moda Health Plan, Inc., Oscar Insurance Company and Premera Blue Cross Blue Shield of Alaska and 3 other insurers list Graham Baluh 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 Graham Baluh affiliated with any hospitals?

According to CMS data, Graham Baluh is affiliated with Jamestown Regional Medical Center and Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Graham Baluh was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.