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

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: November 01, 2026.

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
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Other Identifiers 2

OtherC31279CA · State License
Other1962487728CA · National Provider Indentifier

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Hardison Medical Corporation
5.3 mi
General Practice
142 ENCINITAS BLVD
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
NPI 1124508296 (760) 230-1888

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

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
Quality46.93
Improvement Activities40

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.

Which organization bills Medicare for Charles Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Graham reassigns Medicare benefits to Hardison Medical Corporation (Encinitas, CA). 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 Charles Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.