DR. CHARLES E GRAHAM M.D.
NPI 1962487728
Internal Medicine in Rancho Santa Fe, CA

Q: What is Charles Graham's NPI number?

The NPI number for Charles Graham is 1962487728. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Charles Graham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Graham was last updated on March 7, 2023. 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.

Active since December 14, 2005PECOS Enrolled

73.46/100

CMS Quality Rating

6037 LA GRANADA PMB 1223, PMB 1223, RANCHO SANTA FE, CA 92067(858) 756-5475(858) 756-7639 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Charles E Graham M.d. NPPES

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

DR. CHARLES E GRAHAM M.D. (NPI 1962487728) is an individual internal medicine provider in Rancho Santa Fe, California, licensed in California (C31279) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962487728

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. CHARLES E GRAHAMCredential: M.D.

Location Address6037 LA GRANADA PMB 1223, PMB 1223Rancho Santa Fe, CA 92067-1223

Mailing Address6037 La Granada #1223Rancho Santa Fe, CA 92067-1223 · (858) 756-5475 · Fax (858) 756-7639

Phone(858) 756-5475

Fax(858) 756-7639

Sole ProprietorYes

Enumeration DateDecember 14, 2005

Last NPPES UpdateMarch 7, 2023

✔ NPI 1962487728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · C31279

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

6037 LA GRANADA PMB 1223, Rancho Santa Fe, CA 92067

Open in Google Maps ↗

Other Identifiers 2

OtherC31279CA · State License

Other1962487728CA · National Provider Indentifier

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. Charles E 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.

Areas of Expertise CMS Part B claims 9

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 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.

252 services130 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

70 services64 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

59 services26 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

59 services59 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

55 services55 patients

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.

49 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92067 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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.

73.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

46.93

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

7%161 patients1/55-star benchmark: 93%

Cervical Cancer Screening

8%186 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

8%74 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

9%362 patients1/55-star benchmark: 88%

Diabetes: Eye Exam

14%22 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

55%22 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

44%1,659 patients1/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%632 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

17%1,213 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 524 patients

0%524 patients

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.

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 Charles Graham's NPI number?

The NPI number for Charles Graham is 1962487728. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Charles Graham located?

Charles Graham practices at 6037 La Granada Pmb 1223 Pmb 1223, Rancho Santa Fe, CA 92067. The listed phone number is (858) 756-5475.

What is Charles Graham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Graham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Graham was last updated on March 7, 2023. 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.