DR. LISA S GRAHAM (M.D.) – Ophthalmology Physician, NPI 1720059603

DR. LISA S GRAHAM (M.D.) is a healthcare provider. based in Duluth, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 42312 (WI). The NPI Number for DR. LISA S GRAHAM (M.D.) is 1720059603

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA S GRAHAM (M.D.)
NPI
1720059603
Phone
(218) 720-3553
Address
5007 MATTERHORN DRIVE
Enumeration Date
30 January 2006
Last Update Date
23 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
7810068392
Group Practice PAC ID
0749193290
Professional Enrollment ID
I20080611000854
Address ID
MN558111847HE4413XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

415 OPHTHALMOLOGY in MN

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Provider Addresses for DR. LISA S GRAHAM (M.D.)

  • Belanger, Inc., 5007, Matterhorn Drive, Duluth Heights, Central Duluth, Duluth, Saint Louis County, Minnesota, 55811, United States

    DULUTH, MN 558113812

    Phone: (218) 720-3553

    Fax: (218) 786-9375

    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)

CMS reports 9 Open Payments records for all available years, with a total value of $20,141.

Total Amount is formed as General ($20,141) + Research ($0) + Ownership ($0) = $20,141.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: RxSight Inc ($20,071).

Total Amount

$20,141

General + Research + Ownership

Payments

9

Total payment records

General Amount

$20,141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (955 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
I20080611000854IOphthalmologyMN2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
92014Established patient complete exam of visual system386370$0
92012Established patient problem focused exam of visual system149113$0
92133Imaging of optic nerve125124$0
92083Exam of visual field with extended testing6259$0
66984Removal of cataract with insertion of prosthetic lens5832$0
View full utilization report →

Insurance plans in this area (ZIP 55811)

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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: 0749193290View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMO
-MN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. LISA S GRAHAM (M.D.)'s NPI?
Yes. DR. LISA S GRAHAM (M.D.) is listed with NPI 1720059603 in the public NPI dataset.
Does CMS list DR. LISA S GRAHAM (M.D.) as active?
Yes — DR. LISA S GRAHAM (M.D.) is active in the NPI listing used on this page.
What is DR. LISA S GRAHAM (M.D.) best known for clinically?
Directory data describes DR. LISA S GRAHAM (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. LISA S GRAHAM (M.D.) on a map?
Expect Duluth, Minnesota as a primary anchor for DR. LISA S GRAHAM (M.D.) unless the record lists multiple sites.
Why does DR. LISA S GRAHAM (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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