DR. GEORGE GRAHAM (MD) – Obstetrics & Gynecology Physician, NPI 1710961859

DR. GEORGE GRAHAM (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 251023 (MA). The NPI Number for DR. GEORGE GRAHAM (MD) is 1710961859

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGE GRAHAM (MD)
NPI
1710961859
Phone
(617) 636-5000
Address
800 WASHINGTON ST
Enumeration Date
2 December 2005
Last Update Date
5 November 2025

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
7816248000
Graduation Year
1998 (28 years ago)
PAC ID
4688606874
Group Practice PAC ID
3678487444
Professional Enrollment ID
I20120731000127
Address ID
MA021902432WE55XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,237 OBSTETRICS/GYNECOLOGY in MA

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Provider Addresses for DR. GEORGE GRAHAM (MD)

  • Tufts Medical Center, 800, Washington Street, Chinatown, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States

    BOSTON, MA 021111552

    Phone: (617) 636-5000

    Type: Mailing

  • 55 FOGG RD

    WEYMOUTH, MA 021902455

    Phone: (781) 624-8000

    Type: Mailing

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: 2012-07-31

PECOS data refreshed: 2026-06-15

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
I20120731000127IObstetrics/GynecologyMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02111)

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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: 3678487444View full group profile
NameSpecialtyState
Family PracticeMA
-MA
-MA
U R O L O G YMA
Family PracticeMA
Physician AssistantMA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
-MA
U R O L O G YMA

Reviews

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Frequently asked questions

What identifier follows DR. GEORGE GRAHAM (MD) across health systems?
The NPI 1710961859 uniquely identifies DR. GEORGE GRAHAM (MD) in U.S. healthcare data.
Is DR. GEORGE GRAHAM (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. GEORGE GRAHAM (MD) as active.
What type of care does DR. GEORGE GRAHAM (MD) provide?
DR. GEORGE GRAHAM (MD)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. GEORGE GRAHAM (MD)?
The directory associates DR. GEORGE GRAHAM (MD) with Boston, Massachusetts. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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