MR. MICHAEL CLYDE GRAHAM (P.A.) – Physician Assistant, NPI 1205901477
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
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Provider Addresses for MR. MICHAEL CLYDE GRAHAM (P.A.)
225, 6th Street, Potlatch, Latah County, Idaho, 83855, United States
POTLATCH, ID 838555002
Phone: (208) 883-2220
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-02-09
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 |
|---|---|---|---|---|
| I20060209000488 | I | Physician Assistant | ID | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 260 | 234 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 119 | 112 | $0 |
| 81003 | Automated urinalysis test | 72 | 65 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 83855)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | ID | 81002 | Urinalysis, manual test | 72 | 68 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| - | ID | |
| Family Practice | ID | |
| - | ID | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| - | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | NJ | |
| - | TN |
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