MRS. JAE LYNN GRAHAM (PA-C, MS) – Physician Assistant, NPI 1417093253
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. JAE LYNN GRAHAM (PA-C, MS)
1200 BINZ ST STE 400
HOUSTON, TX 770046942
Phone: (713) 520-6016
Fax: (713) 893-1342
Type: Mailing
1200, Binz Street, Houston, Harris County, Texas, 77004, United States
# 175
HOUSTON, TX 770046900
Phone: (713) 520-6016
Type: Location
4401, Lula Street, Southdale, Bellaire, Harris County, Texas, 77401, United States
BELLAIRE, TX 774015223
Phone: (713) 668-6933
Type: Mailing
1200 BINZ ST STE 175
HOUSTON, TX 770046925
Phone: (713) 520-6016
Fax: (281) 326-6559
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $963.
Total Amount is formed as General ($963) + Research ($0) + Ownership ($0) = $963.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Lilly USA, LLC ($278).
Total Amount
$963
General + Research + Ownership
Payments
47
Total payment records
General Amount
$963
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $278 |
| GlaxoSmithKline, LLC. | $189 |
| Novo Nordisk Inc | $107 |
| Abbott Laboratories | $105 |
| Exact Sciences Corporation | $46 |
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: 2014-11-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141114000253 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 33 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 25 | 22 | $0 |
| 99497 | Advance care planning, first 30 minutes | 22 | 22 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | 20 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 77004)
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