MARY V GRAHAM (MD) – Radiation Oncology Physician, NPI 1336121987
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
158 RADIATION ONCOLOGY in MO
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Provider Addresses for MARY V GRAHAM (MD)
Olde Cabin Road, Creve Coeur Executive Office Park, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SAINT LOUIS, MO 631417129
Phone: (314) 991-8200
Fax: (314) 991-8206
Type: Mailing
St. Anthony's Medical Center, 10010, Kennerly Road, Sappington, Saint Louis County, Missouri, 63128, United States
SAINT LOUIS, MO 631282106
Phone: (314) 525-1688
Fax: (314) 525-1689
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $312.
Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.
Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($162).
Total Amount
$312
General + Research + Ownership
Payments
10
Total payment records
General Amount
$312
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080818000083 | I | Radiation Oncology | MO | TBD |
| I20200107001198 | I | Radiation Oncology | IL | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 770 | 107 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 287 | 96 | $0 |
| 77300 | Calculation of radiation therapy dose | 248 | 80 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 221 | 108 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 122 | 115 | $0 |
Insurance plans in this area (ZIP 63141)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Radiation Oncology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | MO | |
| Radiation Oncology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Diagnostic Radiology | MO |
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