DR. CAMILLE ALICIA GRAHAM (MD) – Otolaryngology Physician, NPI 1720003569

DR. CAMILLE ALICIA GRAHAM (MD) is a healthcare provider. based in Greenville, Texas. specializing in OTOLARYNGOLOGY, ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. L2908 (TX). The NPI Number for DR. CAMILLE ALICIA GRAHAM (MD) is 1720003569

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAMILLE ALICIA GRAHAM (MD)
NPI
1720003569
Phone
(903) 454-6481
Address
4000 MEDICAL PKWY
Enumeration Date
13 July 2006
Last Update Date
1 May 2014

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
9034546481
Graduation Year
1996 (30 years ago)
PAC ID
0941263727
Group Practice PAC ID
7810094091
Professional Enrollment ID
I20100817001304
Address ID
TX754017854GR4000XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

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Provider Addresses for DR. CAMILLE ALICIA GRAHAM (MD)

  • 4000, Medical Parkway, Greenville, Hunt County, Texas, 75401, United States

    GREENVILLE, TX 754017854

    Phone: (903) 454-6481

    Fax: (903) 454-6486

    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 21 Open Payments records for all available years, with a total value of $2,072.

Total Amount is formed as General ($2,072) + Research ($0) + Ownership ($0) = $2,072.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: AERIN MEDICAL INC. ($1,439).

Total Amount

$2,072

General + Research + Ownership

Payments

21

Total payment records

General Amount

$2,072

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2010-08-17

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
I20100817001304IOtolaryngologyTXTBD

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
95165Professional service for preparation and provision of 1 or more antigens5,09980$0
95117Professional service for multiple injections of allergen1,51464$0
95004Test for allergy using allergenic extract96425$0
95024Test for allergy using allergenic extract injected into skin92425$0
99213Established patient office or other outpatient visit, 20-29 minutes898455$0
View full utilization report →

Insurance plans in this area (ZIP 75401)

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Provider's Procedures

DR. CAMILLE ALICIA GRAHAM (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYTX92540Observation, testing, and recording of abnormal eye movement2525
OTOLARYNGOLOGYTX92567Eardrum testing using ear probe304243
OTOLARYNGOLOGYTX95117Injection of incremental dosages of allergen, 2 or more injections197685

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: 7810094091View full group profile
NameSpecialtyState
Otolaryngology, Allergy/ImmunologyTX
O T O L A R Y N G O L O G YTX
Allergy/Immunology, OtolaryngologyTX

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Frequently asked questions

What NPI should I save for DR. CAMILLE ALICIA GRAHAM (MD)?
Save NPI 1720003569 if you need a stable reference for DR. CAMILLE ALICIA GRAHAM (MD).
Is DR. CAMILLE ALICIA GRAHAM (MD) active in the national directory?
DR. CAMILLE ALICIA GRAHAM (MD)'s public NPI profile is in an active state.
What kind of provider is DR. CAMILLE ALICIA GRAHAM (MD)?
The page reflects Otolaryngology Physician for DR. CAMILLE ALICIA GRAHAM (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. CAMILLE ALICIA GRAHAM (MD)?
The page summarizes Greenville, Texas for DR. CAMILLE ALICIA GRAHAM (MD); expand the address list for detail.
Is DR. CAMILLE ALICIA GRAHAM (MD) a real provider?
This page reflects official NPPES data for NPI 1720003569. Always confirm identity and privileges with the practice and licensing boards.

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