DR. ANDRE DEAN GRAHAM (M.D.) – Surgery Physician, NPI 1376525253

DR. ANDRE DEAN GRAHAM (M.D.) is a healthcare provider. based in Ennis, Texas. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 228186 (NY). The NPI Number for DR. ANDRE DEAN GRAHAM (M.D.) is 1376525253

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDRE DEAN GRAHAM (M.D.)
NPI
1376525253
Phone
(682) 224-3748
Address
2203 W Lampasas St Ste 218
Enumeration Date
16 November 2005
Last Update Date
21 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4698254855
Graduation Year
1998 (28 years ago)
PAC ID
1658472139
Group Practice PAC ID
8921364100
Professional Enrollment ID
I20070727000488
Address ID
TX752347852DA9XXXXPKWY303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,644 GENERAL SURGERY in TX

Provider Addresses for DR. ANDRE DEAN GRAHAM (M.D.)

  • 2203 W Lampasas St Ste 218

    Ennis, TX 751195668

    Phone: (682) 224-3748

    Fax: (682) 841-0039

    Type: Location

  • 2302 Lone Star Rd Ste 160

    Professional 1

    Mansfield, TX 760638750

    Phone: (682) 224-3748

    Fax: (682) 841-0039

    Type: Location

  • 400 Hospital Dr Ste 104

    Corsicana, TX 751102489

    Phone: (682) 224-3748

    Fax: (682) 841-0039

    Type: Location

  • 8040, Clark Court, Ovilla, Red Oak, Ellis County, Texas, 75154, United States

    OVILLA, TX 751545559

    Phone: (702) 300-0655

    Type: Mailing

  • 800 8TH AVE STE 306

    FORT WORTH, TX 761042602

    Phone: (682) 224-3748

    Fax: (682) 841-0039

    Type: Mailing

  • 514 S Bonham St Ste B

    Mexia, TX 766673664

    Phone: (682) 224-3748

    Fax: (682) 841-0039

    Type: Location

  • 2700 W Pleasant Run Rd Ste 370

    Lancaster, TX 751461078

    Phone: (682) 224-3748

    Fax: (682) 841-0039

    Type: Location

  • 117 JANE LN

    HILLSBORO, TX 766452673

    Phone: (682) 224-3748

    Fax: (682) 841-0039

    Type: Location

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

    WAXAHACHIE, TX 751652251

    Phone: (972) 923-1457

    Fax: (972) 923-1304

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $12,923.

Total Amount is formed as General ($12,923) + Research ($0) + Ownership ($0) = $12,923.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($12,632).

Total Amount

$12,923

General + Research + Ownership

Payments

44

Total payment records

General Amount

$12,923

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2019-05-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070727000488IGeneral SurgeryTXTBD
I20190507002973IGeneral SurgeryOKTBD

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 minutes2727$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2726$0
99213Established patient office or other outpatient visit, 20-29 minutes2416$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2019$0
99212Established patient office or other outpatient visit, 10-19 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 75119)

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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: 8921364100View full group profile
NameSpecialtyState
General SurgeryUT
Colorectal Surgery (Proctology), General SurgeryTX
General SurgeryTX
General SurgeryTX
General Practice, General SurgeryTX
Physician AssistantWV
General SurgeryTX
Vascular SurgeryMI
General Surgery, Vascular SurgeryHI
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up DR. ANDRE DEAN GRAHAM (M.D.) by NPI?
Use NPI 1376525253 when you need to reference DR. ANDRE DEAN GRAHAM (M.D.) in forms, claims, or directories.
Is DR. ANDRE DEAN GRAHAM (M.D.) active in the national directory?
DR. ANDRE DEAN GRAHAM (M.D.)'s public NPI profile is in an active state.
Can you summarize DR. ANDRE DEAN GRAHAM (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. ANDRE DEAN GRAHAM (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. ANDRE DEAN GRAHAM (M.D.)?
We surface Ennis, Texas for DR. ANDRE DEAN GRAHAM (M.D.) based on available NPPES addresses.
Is DR. ANDRE DEAN GRAHAM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1376525253. Always confirm identity and privileges with the practice and licensing boards.

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