DR. LARRY C II GRAHAM (MD) – Body Imaging Physician, NPI 1023090503
Body Imaging Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041026001155 | I | Diagnostic Radiology | KS | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,339 | 1,188 | $0 |
| 71046 | X-ray of chest, 2 views | 740 | 710 | $0 |
| 70450 | Ct scan head or brain without contrast | 464 | 436 | $0 |
| 77067 | Screening mammography | 230 | 230 | $0 |
| 77063 | Screening 3d breast mammography | 228 | 228 | $0 |
Insurance plans in this area (ZIP 67230)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | KS | 71250 | CT scan chest | 88 | 88 |
| DIAGNOSTIC RADIOLOGY | KS | 73110 | X-ray of wrist, minimum of 3 views | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | KS | 73140 | X-ray of fingers, minimum of 2 views | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | KS | 73562 | X-ray of knee, 3 views | 41 | 41 |
| DIAGNOSTIC RADIOLOGY | KS | 73630 | X-ray of foot, minimum of 3 views | 29 | 27 |
| DIAGNOSTIC RADIOLOGY | KS | 74177 | CT scan of abdomen and pelvis with contrast | 159 | 155 |
| DIAGNOSTIC RADIOLOGY | KS | 76830 | Ultrasound pelvis through vagina | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | KS | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 15 | 15 |
| DIAGNOSTIC RADIOLOGY | KS | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 174 | 173 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| - | KS | |
| Diagnostic Radiology | KS | |
| Diagnostic Radiology | KS | |
| - | KS | |
| Diagnostic Radiology | MO |
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