CONNOR W GRAHAM (M.D.) – Internal Medicine Physician, NPI 1669421301
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,996 INTERNAL MEDICINE in CO
Provider Addresses for CONNOR W GRAHAM (M.D.)
4747 Arapahoe Ave
Boulder, CO 803031131
Phone: (303) 415-7610
Fax: (303) 415-7618
Type: Location
4021 Avenue B
Scottsbluff, NE 693614602
Phone: (308) 630-2920
Fax: (308) 630-1890
Type: Location
Broadway, The Hill, Boulder, Boulder County, Colorado, 80802, United States
BOULDER, CO 803043586
Phone: (303) 440-3082
Fax: (303) 440-3281
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Medline Industries LP ($19).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medline Industries LP | $19 |
| GlaxoSmithKline, LLC. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060616000078 | I | Internal Medicine | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 427 | 427 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 324 | 221 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 181 | 143 | $0 |
| 90471 | Administration of vaccine | 114 | 103 | $0 |
| G0008 | Administration of influenza virus vaccine | 74 | 74 | $0 |
Insurance plans in this area (ZIP 80303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CO | |
| Family Practice | WA | |
| - | CO | |
| Family Practice | CO | |
| Pediatric Medicine, Gastroenterology | CO | |
| Internal Medicine | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| - | AZ | |
| Family Practice | CO | |
| Physician Assistant | CO |
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