LAURA L. GRAHAM (PA) – Medical Physician Assistant, NPI 1023089125

LAURA L. GRAHAM (PA) is a healthcare provider. based in Toledo, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0010-00248 (NC). The NPI Number for LAURA L. GRAHAM (PA) is 1023089125

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LAURA L. GRAHAM (PA)
NPI
1023089125
Phone
(419) 893-9413
Address
4235 SECOR RD
Enumeration Date
28 January 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
1456337351
Group Practice PAC ID
2668522400
Professional Enrollment ID
I20040629001196
Address ID
OH436082675TO2222XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,036 PHYSICIAN ASSISTANT in OH

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Provider Addresses for LAURA L. GRAHAM (PA)

  • 4235, Secor Road, Deaveaux, Toledo, Lucas County, Ohio, 43623, United States

    TOLEDO, OH 436234231

    Phone: (419) 893-9413

    Fax: (419) 893-0026

    Type: Mailing

  • 235, West Wayne Street, Maumee Uptown Historic District, Maumee, Lucas County, Ohio, 43537, United States

    MAUMEE, OH 435372124

    Phone: (419) 893-9413

    Fax: (419) 893-0026

    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: 2004-06-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040629001196IPhysician AssistantOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes395267$0
99213Established patient office or other outpatient visit, 20-29 minutes253180$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9090$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report7164$0
81003Automated urinalysis test4939$0
View full utilization report →

Insurance plans in this area (ZIP 43623)

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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: 2668522400View full group profile

Reviews

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Frequently asked questions

How do I look up LAURA L. GRAHAM (PA) by NPI?
Use NPI 1023089125 when you need to reference LAURA L. GRAHAM (PA) in forms, claims, or directories.
Is LAURA L. GRAHAM (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize LAURA L. GRAHAM (PA)'s specialty in plain language?
Clinically, the directory lists LAURA L. GRAHAM (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for LAURA L. GRAHAM (PA)?
The page summarizes Toledo, Ohio for LAURA L. GRAHAM (PA); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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