HOLLY JEANNE GRAHAM (M.D.) – Anesthesiology Physician, NPI 1003089319

HOLLY JEANNE GRAHAM (M.D.) is a healthcare provider. based in Bend, Oregon. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 82132 (AZ). The NPI Number for HOLLY JEANNE GRAHAM (M.D.) is 1003089319

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY JEANNE GRAHAM (M.D.)
NPI
1003089319
Phone
(503) 784-9107
Address
2264 NW HIGH LAKES LOOP
Enumeration Date
8 April 2008
Last Update Date
3 June 2011

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5413824321
Graduation Year
2007 (19 years ago)
PAC ID
2567632136
Group Practice PAC ID
4880683788
Professional Enrollment ID
I20110909002544
Address ID
OR977016015BE2500XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,343 ANESTHESIOLOGY in AZ

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Provider Addresses for HOLLY JEANNE GRAHAM (M.D.)

  • 2264, Northwest High Lakes Loop, Bend, Deschutes County, Oregon, 97703, United States

    BEND, OR 977016973

    Phone: (503) 784-9107

    Type: Mailing

  • Tucson Medical Center, 5301, East Grant Road, Tucson, Pima County, Arizona, 85712, United States

    THMEP

    TUCSON, AZ 85712

    Phone: (520) 324-5095

    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: 2011-09-09

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
I20110909002544IAnesthesiologyORTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2828$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2020$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 97701)

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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: 4880683788View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YIN
-OR

Reviews

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Frequently asked questions

Does HOLLY JEANNE GRAHAM (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — HOLLY JEANNE GRAHAM (M.D.) uses 1003089319.
Is HOLLY JEANNE GRAHAM (M.D.) listed as active for patients and plans?
The listing shows HOLLY JEANNE GRAHAM (M.D.) as active in the NPI system.
What is HOLLY JEANNE GRAHAM (M.D.)'s specialty?
The listing groups HOLLY JEANNE GRAHAM (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is HOLLY JEANNE GRAHAM (M.D.) based?
HOLLY JEANNE GRAHAM (M.D.) is tied to Bend, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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