DR. MONICA GRAFALS (M.D.) – Internal Medicine Physician, NPI 1578622320
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 DR. MONICA GRAFALS (M.D.)
Lahey Hospital & Medical Center, 41, Burlington Mall Road, Burlington, Middlesex County, Massachusetts, 01805, United States
41 MALL RD.
BURLINGTON, MA 018050001
Phone: (781) 744-2500
Fax: (781) 744-5743
Type: Mailing
PO BOX 4330
AVON, CO 816204330
Phone: (709) 266-3409
Fax: (970) 926-6348
Type: Mailing
50 BUCK CREEK RD STE 200
AVON, CO 816205428
Phone: (709) 266-3409
Fax: (970) 926-6348
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $73,028.
Total Amount is formed as General ($73,028) + Research ($0) + Ownership ($0) = $73,028.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($72,476).
Total Amount
$73,028
General + Research + Ownership
Payments
67
Total payment records
General Amount
$73,028
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $72,476 |
| Horizon Therapeutics plc | $301 |
| Amgen Inc. | $110 |
| ANI Pharmaceuticals, Inc. | $95 |
| CALLIDITAS THERAPEUTICS US INC. | $27 |
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: 2017-05-30
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 |
|---|---|---|---|---|
| I20170530000104 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 267 | 177 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 161 | 127 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 158 | 140 | $0 |
| 81003 | Automated urinalysis test | 149 | 132 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 127 | 52 | $0 |
Insurance plans in this area (ZIP 01805)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | MA | 90935 | Hemodialysis procedure with one physician evaluation | 92 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Family Practice, Emergency Medicine | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| - | CO | |
| Emergency Medicine, Preventive Medicine | CO | |
| Registered Dietitian Or Nutrition Professional | CO | |
| - | CO | |
| - | CO |
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