GARY PETER GRAHAM (MD) – Surgery Physician, NPI 1356508287

GARY PETER GRAHAM (MD) is a healthcare provider. based in Waxahachie, Texas. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. P5810 (TX). The NPI Number for GARY PETER GRAHAM (MD) is 1356508287

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
GARY PETER GRAHAM (MD)
NPI
1356508287
Phone
(972) 923-1457
Address
1305 W JEFFERSON ST STE 120
Enumeration Date
19 May 2008
Last Update Date
13 May 2014

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3077426319
Graduation Year
2008 (18 years ago)
PAC ID
2567619695
Group Practice PAC ID
8325304447
Professional Enrollment ID
I20190117003201
Address ID
WY820725048LA3116XDRXX300
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

2,644 GENERAL SURGERY in TX

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Provider Addresses for GARY PETER GRAHAM (MD)

  • 120, West Jefferson Street, Waxahachie, Ellis County, Texas, 75165, United States

    WAXAHACHIE, TX 751652251

    Phone: (972) 923-1457

    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: 2019-01-17

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
I20190117003201IGeneral SurgeryWYTBD

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
99203New patient office or other outpatient visit, 30-44 minutes7777$0
99213Established patient office or other outpatient visit, 20-29 minutes7567$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5754$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare4747$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
View full utilization report →

Insurance plans in this area (ZIP 75165)

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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: 8325304447View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YWY
O B S T E T R I C S/ G Y N E C O L O G YWY
Nurse PractitionerWY
Nurse PractitionerCO
O T O L A R Y N G O L O G YOR
Internal MedicineNY
Physician AssistantWY
Nurse PractitionerIL
Family PracticeWY
-MI

Reviews

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Frequently asked questions

How is GARY PETER GRAHAM (MD) identified in CMS data?
CMS-hosted NPPES data lists GARY PETER GRAHAM (MD) with NPI 1356508287.
Is GARY PETER GRAHAM (MD) listed as active for patients and plans?
The listing shows GARY PETER GRAHAM (MD) as active in the NPI system.
What healthcare role does GARY PETER GRAHAM (MD) hold?
Scheduling teams often label GARY PETER GRAHAM (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is GARY PETER GRAHAM (MD) based?
GARY PETER GRAHAM (MD) is tied to Waxahachie, Texas in the data we show; additional addresses may exist on the full record.
Is the information about GARY PETER GRAHAM (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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