MARY GRAHAM DORE PA-C
NPI 1942220207
Physician Assistant in Charlotte, NC

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
10635 PARK RD STE I, CHARLOTTE, NC 28210(704) 495-6334 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2026, Jan 21, 2026, Oct 28, 2020 (3 updates tracked since 2020).

About Mary Graham Dore Pa-c NPPES

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

MARY GRAHAM DORE PA-C (NPI 1942220207) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (103662) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1942220207
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY GRAHAM DORECredential: PA-C
Location Address10635 PARK RD STE ICharlotte, NC 28210-8408
Mailing Address5960 Fairview Rd Ste 500Charlotte, NC 28210-3113 · (704) 495-6334
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1942220207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103662
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10635 PARK RD STE I, Charlotte, NC 28210

Secondary Practice Locations 2

Location 14525 Cameron Valley Pkwy, Suite 1500Charlotte, NC 28211-4369 · Phone (704) 512-6240
Location 26060 Piedmont Row Dr S Fl 8Charlotte, NC 28287-3891 · Phone (704) 495-6334

Other Identifiers 1

Medicaid8102721NC

Accepted 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

Mary Graham Dore Pa-c 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 ID6507752847
PECOS Enrollment IDI20040224001114
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

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.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%80 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
57%99 patients3/55-star benchmark: 100%
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…
42%131 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
46%54 patients2/55-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 19

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

Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Physician Assistant
10635 PARK RD STE I
CHARLOTTE, NC 28210
Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Internal Medicine
10635 PARK RD STE I
CHARLOTTE, NC 28210
Physician Assistant
10635 PARK RD STE I
CHARLOTTE, NC 28210

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 Mary Dore's NPI number?

The NPI number for Mary Dore is 1942220207. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Mary Dore located?

Mary Dore practices at 10635 Park Rd Ste I, Charlotte, NC 28210. The listed phone number is (704) 495-6334.

What is Mary Dore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Dore enrolled in Medicare?

Yes. Mary Dore 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.

What insurance does Mary Dore accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Mary Dore 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 Mary Dore was last updated on May 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.