DR. TRAVIS S GRAHAM (MD) – Diagnostic Radiology Physician, NPI 1417926528
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
42 DIAGNOSTIC RADIOLOGY in WY
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Provider Addresses for DR. TRAVIS S GRAHAM (MD)
2420, Ina Avenue, Cody, Park County, Wyoming, 82414, United States
CODY, WY 824149825
Phone: (307) 578-2372
Type: Mailing
West Park Hospital, 707, Sheridan Avenue, Cody, Park County, Wyoming, 82414, United States
CODY, WY 824143409
Phone: (307) 578-2372
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: ICU Medical Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ICU Medical Inc | $15 |
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: 2021-03-11
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 |
|---|---|---|---|---|
| I20060711000454 | I | Diagnostic Radiology | WY | TBD |
| I20210311001708 | I | Diagnostic Radiology | MT | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 573 | 572 | $0 |
| 77063 | Screening 3d breast mammography | 572 | 571 | $0 |
| 71045 | X-ray of chest, 1 view | 556 | 441 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 514 | 513 | $0 |
| 71046 | X-ray of chest, 2 views | 321 | 289 | $0 |
Insurance plans in this area (ZIP 82414)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WY | 71250 | CT scan chest | 90 | 83 |
| DIAGNOSTIC RADIOLOGY | WY | 20610 | Aspiration and/or injection of large joint or joint capsule | 23 | 19 |
| DIAGNOSTIC RADIOLOGY | WY | 71010 | X-ray of chest, 1 view, front | 411 | 317 |
| DIAGNOSTIC RADIOLOGY | WY | 74177 | CT scan of abdomen and pelvis with contrast | 130 | 122 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WY | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | WY | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology, Interventional Radiology | WY | |
| Interventional Radiology, Diagnostic Radiology | WY | |
| Diagnostic Radiology | WY | |
| Diagnostic Radiology | WY | |
| Diagnostic Radiology | CA |
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