BRADLEY SCOTT GRAHAM (MD) – Dermatology Physician, NPI 1083641062
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
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Provider Addresses for BRADLEY SCOTT GRAHAM (MD)
1367, Dominion Plaza, Tyler, Smith County, Texas, 75703, United States
TYLER, TX 757031013
Phone:
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)
CMS reports 58 Open Payments records for all available years, with a total value of $971.
Total Amount is formed as General ($971) + Research ($0) + Ownership ($0) = $971.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($577).
Total Amount
$971
General + Research + Ownership
Payments
58
Total payment records
General Amount
$971
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $577 |
| Janssen Biotech, Inc. | $135 |
| GENZYME CORPORATION | $98 |
| LEO Pharma Inc. | $53 |
| E.R. Squibb & Sons, L.L.C. | $44 |
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: 2018-06-27
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 |
|---|---|---|---|---|
| I20100330000219 | I | Dermatology | TX | TBD |
| I20180627001746 | I | Dermatology | OK | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 16,627 | 10,945 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,257 | 231 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 915 | 789 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 621 | 478 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 452 | 377 | $0 |
Insurance plans in this area (ZIP 75703)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX |
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