CHARLES SCOTT GRAHAM (D.O.) – Family Medicine Physician, NPI 1700932332

CHARLES SCOTT GRAHAM (D.O.) is a healthcare provider. based in Lakeview, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. DO21658 (OR). The NPI Number for CHARLES SCOTT GRAHAM (D.O.) is 1700932332

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES SCOTT GRAHAM (D.O.)
NPI
1700932332
Phone
(541) 947-2331
Address
620 S J ST
Enumeration Date
26 January 2007
Last Update Date
7 January 2020

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5419472114
Graduation Year
1996 (30 years ago)
PAC ID
7214030964
Group Practice PAC ID
4284629221
Professional Enrollment ID
I20101104000863
Address ID
OR976301623LA700XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for CHARLES SCOTT GRAHAM (D.O.)

  • South J Street, Lakeview, Lake County, Oregon, 97630, United States

    LAKEVIEW, OR 976301680

    Phone: (541) 947-2331

    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)

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: 2010-11-04

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
I20101104000863IFamily PracticeORTBD

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
81002Urinalysis, manual test6343$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5922$0
99238Hospital discharge day management, 30 minutes or less2322$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 97630)

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Provider's Procedures

CHARLES SCOTT GRAHAM (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOR81002Urinalysis, manual test1512

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: 4284629221View full group profile
NameSpecialtyState
-IL
Diagnostic RadiologyOR
General Surgery, Thoracic SurgeryOR
Nurse PractitionerOR
-OR
O B S T E T R I C S/ G Y N E C O L O G YCO
C H I R O P R A C T I COR
Nurse PractitionerOR
-CA
-OR

Reviews

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Frequently asked questions

Is there an official ID for CHARLES SCOTT GRAHAM (D.O.) in U.S. healthcare records?
The official identifier for CHARLES SCOTT GRAHAM (D.O.) is NPI 1700932332.
Active or inactive — what applies to CHARLES SCOTT GRAHAM (D.O.)?
You should see CHARLES SCOTT GRAHAM (D.O.) as active in CMS-hosted NPPES data.
What clinical focus is listed for CHARLES SCOTT GRAHAM (D.O.)?
At a glance, CHARLES SCOTT GRAHAM (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CHARLES SCOTT GRAHAM (D.O.)?
Directory geography for CHARLES SCOTT GRAHAM (D.O.) centers on Lakeview, Oregon.
Can I trust this NPI listing for CHARLES SCOTT GRAHAM (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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