DR. MICHAEL WILLIAM GRAFE M.D.
NPI 1922194711
Specialist in Santa Rosa, CA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
86.7/100
CMS Quality Rating
208 CONCOURSE BLVD, #1, SANTA ROSA, CA 95403(707) 544-3400(707) 544-0137 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Michael William Grafe M.d. NPPES

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

DR. MICHAEL WILLIAM GRAFE M.D. (NPI 1922194711) is an individual specialist in Santa Rosa, California, licensed in California (A69430) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1998).

NPPES Registry Identity

NPI1922194711
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MICHAEL WILLIAM GRAFECredential: M.D.
Location Address208 CONCOURSE BLVD, #1Santa Rosa, CA 95403-8210
Mailing Address208 Concourse Blvd, #1Santa Rosa, CA 95403-8210 · (707) 544-3400 · Fax (707) 544-0137
Fax(707) 544-0137
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1998
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1922194711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A69430
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
208 CONCOURSE BLVD, Santa Rosa, CA 95403

Other Identifiers 1

Medicaid00A694300CA

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. Michael William Grafe 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 ID9133164437
PECOS Enrollment IDI20050627001368
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 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
538 services398 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
340 services230 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
291 services237 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
216 services216 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
198 services168 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
105 services85 patients

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.

86.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.6
Promoting Interoperability100
Improvement Activities40
Cost71.08

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier51 claims55 services$58.42 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
1 supplier67 claims76 services$63.38 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 10

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

Physician Assistant (Surgical)
208 CONCOURSE BLVD, SUITE 1
SANTA ROSA, CA 95403
Specialist
208 CONCOURSE BLVD, #1
SANTA ROSA, CA 95403
Physician Assistant (Medical)
208 CONCOURSE BLVD
SANTA ROSA, CA 95403
Specialist
208 CONCOURSE BLVD, SUITE #1
SANTA ROSA, CA 95403
Specialist
208 CONCOURSE BLVD, SUITE #1
SANTA ROSA, CA 95403
Specialist
208 CONCOURSE BLVD, #1
SANTA ROSA, CA 95403
Orthopaedic Surgery (Sports Medicine)
208 CONCOURSE BLVD
SANTA ROSA, CA 95403
Physical Therapist
208 CONCOURSE BLVD
SANTA ROSA, CA 95403

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 Michael Grafe's NPI number?

The NPI number for Michael Grafe is 1922194711. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Michael Grafe located?

Michael Grafe practices at 208 Concourse Blvd #1, Santa Rosa, CA 95403. The listed phone number is (707) 544-3400.

What is Michael Grafe's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Michael Grafe enrolled in Medicare?

Yes. Michael Grafe 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.

When was this NPI record last updated?

The NPPES record for Michael Grafe was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.