DR. PAUL M GRAHAM (DO, FAAD) – Dermatology Physician, NPI 1720406580

DR. PAUL M GRAHAM (DO, FAAD) is a healthcare provider. based in Tampa, Florida. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials DO, FAAD. They hold a License No. OS15142 (FL). The NPI Number for DR. PAUL M GRAHAM (DO, FAAD) is 1720406580

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL M GRAHAM (DO, FAAD)
NPI
1720406580
Phone
(813) 882-9986
Address
5210 WEBB RD
Enumeration Date
30 March 2014
Last Update Date
24 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4079920660
Graduation Year
2013 (13 years ago)
PAC ID
8527285543
Group Practice PAC ID
8022191865
Professional Enrollment ID
I20180705000426
Address ID
FL327462193LA1035XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for DR. PAUL M GRAHAM (DO, FAAD)

  • 5210 WEBB RD

    TAMPA, FL 336154518

    Phone: (813) 882-9986

    Fax: (813) 882-9849

    Type: Location

  • 305 CLYDE MORRIS BLVD STE 150

    ORMOND BEACH, FL 321748186

    Phone: (386) 615-1771

    Fax: (386) 615-1545

    Type: Mailing

  • 900 N Swallow Tail Dr

    Port Orange, FL 321296102

    Phone: (386) 615-1771

    Fax: (386) 615-1545

    Type: Location

  • 870 111TH AVE N STE 4

    NAPLES, FL 341081869

    Phone: (239) 649-3090

    Fax: (239) 649-3081

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $898.

Total Amount is formed as General ($898) + Research ($0) + Ownership ($0) = $898.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($109).

Total Amount

$898

General + Research + Ownership

Payments

38

Total payment records

General Amount

$898

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-07-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180705000426IDermatologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,516179$0
Q4187Epicord, per square centimeter42653$0
11102Biopsy of related skin growth, first growth416270$0
17000Destruction of precancer skin growth, 1 growth346208$0
99213Established patient office or other outpatient visit, 20-29 minutes334208$0
View full utilization report →

Insurance plans in this area (ZIP 33615)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022191865View full group profile
NameSpecialtyState
-FL
Physician AssistantFL

Reviews

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Frequently asked questions

Is DR. PAUL M GRAHAM (DO, FAAD) listed with a National Provider Identifier?
Yes — DR. PAUL M GRAHAM (DO, FAAD) has NPI 1720406580 on file in the registry.
Is there an active status for DR. PAUL M GRAHAM (DO, FAAD)?
For scheduling context, DR. PAUL M GRAHAM (DO, FAAD) is shown as active in the registry.
What expertise is attributed to DR. PAUL M GRAHAM (DO, FAAD)?
DR. PAUL M GRAHAM (DO, FAAD)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. PAUL M GRAHAM (DO, FAAD)?
Travel planning: use Tampa, Florida as the reference point for DR. PAUL M GRAHAM (DO, FAAD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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