BRIAN GRAHAM (PA) – Surgical Physician Assistant, NPI 1528254505

BRIAN GRAHAM (PA) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1670 (OK). The NPI Number for BRIAN GRAHAM (PA) is 1528254505

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN GRAHAM (PA)
NPI
1528254505
Phone
(918) 392-1400
Address
4802 S 109TH EAST AVE
Enumeration Date
24 September 2007
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185826800
Graduation Year
2007 (19 years ago)
PAC ID
2062598741
Group Practice PAC ID
8123915626
Professional Enrollment ID
I20080320000242
Address ID
OK741361208TU2431XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for BRIAN GRAHAM (PA)

  • 4802, South 109th East Avenue, Tulsa, Tulsa County, Oklahoma, 74146, United States

    TULSA, OK 741465822

    Phone: (918) 392-1400

    Fax: (918) 236-4501

    Type: Mailing

  • 2431 E 61ST ST STE 500

    TULSA, OK 741361208

    Phone: (918) 582-6800

    Fax: (918) 582-6060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Pylant Medical ($38).

Total Amount

$100

General + Research + Ownership

Payments

4

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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: 2008-03-20

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
I20080320000242IPhysician AssistantOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes299207$0
73030X-ray of shoulder, minimum of 2 views243135$0
73130X-ray of hand, minimum of 3 views172125$0
73110X-ray of wrist, minimum of 3 views14687$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg11989$0
View full utilization report →

Insurance plans in this area (ZIP 74146)

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Provider's Procedures

BRIAN GRAHAM (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOK20610Aspiration and/or injection of large joint or joint capsule5755
PHYSICIAN ASSISTANTOK73562X-ray of knee, 3 views4037

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: 8123915626View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryOK
Orthopedic SurgeryKS
-OK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physician AssistantOK
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeOK
-OK
Sports Medicine, Orthopedic SurgeryOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRIAN GRAHAM (PA)?
BRIAN GRAHAM (PA) — NPI 1528254505 — is the standard way to identify this listing.
Is BRIAN GRAHAM (PA) listed as active for patients and plans?
The listing shows BRIAN GRAHAM (PA) as active in the NPI system.
What is BRIAN GRAHAM (PA) best known for clinically?
Directory data describes BRIAN GRAHAM (PA) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect BRIAN GRAHAM (PA) on a map?
Expect Tulsa, Oklahoma as a primary anchor for BRIAN GRAHAM (PA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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