DR. LARRY C II GRAHAM (MD) – Body Imaging Physician, NPI 1023090503

DR. LARRY C II GRAHAM (MD) is a healthcare provider. based in Wichita, Kansas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 04-28763 (KS). The NPI Number for DR. LARRY C II GRAHAM (MD) is 1023090503

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY C II GRAHAM (MD)
NPI
1023090503
Phone
(316) 733-2307
Address
13715 PINNACLE DR
Enumeration Date
18 November 2005
Last Update Date
20 November 2013

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
7853252211
Graduation Year
1997 (29 years ago)
PAC ID
0547153942
Group Practice PAC ID
8921082041
Professional Enrollment ID
I20041026001155
Address ID
KS669682033WA304XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

298 DIAGNOSTIC RADIOLOGY in KS

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Provider Addresses for DR. LARRY C II GRAHAM (MD)

  • 13715, Pinnacle Drive, Wichita, Sedgwick County, Kansas, 67230, United States

    WICHITA, KS 672301545

    Phone: (316) 733-2307

    Type: Mailing

  • Via Christi St. Joseph, 3600, East Harry Street, Mead Neighborhood, Wichita, Sedgwick County, Kansas, 67218, United States

    WICHITA, KS 672183713

    Phone: (316) 689-5050

    Fax: (316) 689-6192

    Type: Location

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: 2004-10-26

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
I20041026001155IDiagnostic RadiologyKSTBD

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
71045X-ray of chest, 1 view1,3391,188$0
71046X-ray of chest, 2 views740710$0
70450Ct scan head or brain without contrast464436$0
77067Screening mammography230230$0
77063Screening 3d breast mammography228228$0
View full utilization report →

Insurance plans in this area (ZIP 67230)

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Provider's Procedures

DR. LARRY C II GRAHAM (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYKS71250CT scan chest8888
DIAGNOSTIC RADIOLOGYKS73110X-ray of wrist, minimum of 3 views1111
DIAGNOSTIC RADIOLOGYKS73140X-ray of fingers, minimum of 2 views1313
DIAGNOSTIC RADIOLOGYKS73562X-ray of knee, 3 views4141
DIAGNOSTIC RADIOLOGYKS73630X-ray of foot, minimum of 3 views2927
DIAGNOSTIC RADIOLOGYKS74177CT scan of abdomen and pelvis with contrast159155
DIAGNOSTIC RADIOLOGYKS76830Ultrasound pelvis through vagina1111
DIAGNOSTIC RADIOLOGYKS93926Ultrasound study of arteries and arterial grafts of one leg or limited1515
DIAGNOSTIC RADIOLOGYKS93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers174173

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: 8921082041View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyKS
Diagnostic RadiologyKS
Diagnostic RadiologyKS
Diagnostic RadiologyKS
Diagnostic RadiologyKS
-KS
Diagnostic RadiologyKS
Diagnostic RadiologyKS
-KS
Diagnostic RadiologyMO

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Frequently asked questions

How do payers reference DR. LARRY C II GRAHAM (MD)?
For DR. LARRY C II GRAHAM (MD), use NPI 1023090503 as the unique 10-digit identifier.
Would DR. LARRY C II GRAHAM (MD) appear as active to a payer?
You can treat DR. LARRY C II GRAHAM (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. LARRY C II GRAHAM (MD)?
At a glance, DR. LARRY C II GRAHAM (MD) is tied to Body Imaging Physician. Clinical services aligned with this taxonomy classification.
Where in Kansas is DR. LARRY C II GRAHAM (MD) registered?
Use Wichita, Kansas as the headline location for DR. LARRY C II GRAHAM (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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