Active NPI 1710970264 Individual Practitioner Male Practitioner

Dr. Gary C Graham , MD

Ophthalmology • Merced, CA

Professional Overview & Biography Verified Profile Summary

Dr. Gary Graham, MD is a registered healthcare professional specializing in Ophthalmology in Merced, CA. Practice services are available at 517 W 23RD ST under active NPI credentials.

Frequently performed procedures and clinical services include imaging of retina, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

517 W 23rd St

Merced, CA 953403724

Telephone 2093831111

Fax 2093830104

Associated Practice Facility / Clinic

🏢 Gary C Graham, M.d., Inc Facility NPI 1740501196

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Merced, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 36.0 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Merced, CA (3116 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

14.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	557	546	$96.00	$43.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	504	175	$55.00	$54.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	221	217	$150.14	$150.14
99213 Established patient office or other outpatient visit, typically 15 minutes	84	67	$70.00	$70.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	82	82	$160.00	$158.29
92083 Exam of visual field with extended testing	52	50	$95.00	$67.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$120.00	$116.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$115.00	$115.00
92133 Imaging of optic nerve	15	15	$96.00	$39.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	575	232	$55.03	$47.50
92134 Imaging of retina	556	543	$96.00	$43.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	183	179	$149.02	$148.57
99213 Established patient office or other outpatient visit, typically 15 minutes	127	91	$68.98	$68.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	80	80	$158.63	$155.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	66	$115.00	$112.14
92083 Exam of visual field with extended testing	59	58	$95.00	$67.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$120.00	$112.01
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$115.00	$79.26
92133 Imaging of optic nerve	21	21	$96.00	$39.40
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	16	11	$225.00	$182.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	615	593	$96.00	$41.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	236	159	$55.00	$45.37
99213 Established patient office or other outpatient visit, typically 15 minutes	221	140	$65.00	$62.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	212	205	$145.02	$139.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	198	139	$45.00	$23.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	106	106	$150.00	$144.24
92083 Exam of visual field with extended testing	76	76	$95.00	$65.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	65	$115.00	$107.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$120.00	$108.21
66984 Removal of cataract with insertion of lens	53	31	$441.98	$121.75
92133 Imaging of optic nerve	33	31	$96.00	$37.90
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$115.00	$76.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	609	596	$96.00	$42.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	277	159	$55.00	$44.32
99213 Established patient office or other outpatient visit, typically 15 minutes	251	149	$65.00	$63.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	250	242	$145.00	$141.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	124	99	$45.00	$22.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	83	83	$150.00	$146.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	48	$115.00	$108.29
92083 Exam of visual field with extended testing	49	49	$95.00	$66.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$119.88	$108.04
92133 Imaging of optic nerve	21	21	$96.00	$38.61
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$115.00	$75.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	659	641	$96.00	$41.61
99213 Established patient office or other outpatient visit, typically 15 minutes	350	177	$65.11	$63.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	297	158	$55.13	$43.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	277	266	$145.00	$140.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	68	68	$150.00	$142.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	67	56	$45.00	$20.61
66984 Removal of cataract with insertion of lens	58	31	$442.42	$120.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	57	$115.00	$108.12
92083 Exam of visual field with extended testing	54	52	$95.00	$65.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$117.25	$107.75
92133 Imaging of optic nerve	25	23	$96.00	$38.08
92014 Established patient complete exam of visual system	16	16	$145.94	$125.16

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA G13700

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G137000 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 01, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 01, 2010

Registered at 517 W 23RD ST, MERCED, CA 953403724 (Tel: 2093831111)

📍

Updated Business Mailing Address September 01, 2010

Registered at PO BOX 2038, MERCED, CA 953440038 (Tel: 2093831111)

👤

Provider Name / Credentials Updated September 01, 2010

Recorded as GARY GRAHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2010

Ophthalmology (License #G13700 in CA)

🟢

Initial NPI Registration & Enumeration August 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1710970264

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2005

Last Update: September 01, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2038

Merced, CA 953440038

Phone: 2093831111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.