Active NPI 1922194711 Individual Practitioner Male Practitioner

Dr. Michael William Grafe , MD

Specialist • Santa Rosa, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Grafe, MD is a certified Specialist practicing in Santa Rosa, CA. With approximately 28 years of clinical experience since graduating from Boston University School Of Medicine in 1998, Dr. Grafe delivers high-quality medical care to the local community at 208 CONCOURSE BLVD.

Dr. Grafe is affiliated with Redwood Orthopaedic Surgery Associates Amc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, injection into tendon or ligament. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

208 Concourse Blvd
#1

Santa Rosa, CA 954038210

Telephone 7075443400

Fax 7075440137

Associated Practice Facility / Clinic

🏢 Backtogolf Performance & Fitness Inc Facility NPI 1669571188

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Santa Rosa, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -4.6 yrs vs City Avg

City Avg: 32.6 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

58 Specialists

Practicing in Santa Rosa, CA (6446 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grafe (28 Years) 28 Yrs

Santa Rosa Specialty Average (32.6 Years) 32.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	11,923	208	$0.47	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	538	398	$200.00	$139.26
20550 Injection into tendon or ligament	340	230	$110.00	$57.77
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	291	237	$199.11	$65.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	216	216	$300.00	$180.01
99213 Established patient office or other outpatient visit, typically 15 minutes	198	168	$170.00	$99.59
J1040 Injection, methylprednisolone acetate, 80 mg	105	85	$31.95	$9.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$200.00	$120.25
73110 X-ray of wrist, minimum of 3 views	77	52	$81.00	$48.62
64721 Release and/or relocation of hand nerve	74	63	$964.00	$472.90
73140 X-ray of finger, minimum of 2 views	57	53	$72.00	$45.25
26055 Incision of tendon covering	31	22	$976.26	$282.08
20526 Injection of carpal tunnel	26	23	$129.00	$90.36
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance	18	16	$140.00	$89.92
73130 X-ray of hand, minimum of 3 views	16	14	$70.00	$43.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	505	185	$4.84	$1.04
99213 Established patient office or other outpatient visit, typically 15 minutes	420	304	$159.95	$98.06
20550 Injection into tendon or ligament	311	213	$110.00	$57.36
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	260	215	$180.00	$65.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	224	$196.73	$138.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	205	205	$194.53	$121.29
J1040 Injection, methylprednisolone acetate, 80 mg	108	86	$15.00	$10.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$295.10	$179.30
64721 Release and/or relocation of hand nerve	67	64	$964.00	$446.22
73110 X-ray of wrist, minimum of 3 views	55	36	$81.00	$48.07
26055 Incision of tendon covering	46	41	$970.00	$262.73
73140 X-ray of finger, minimum of 2 views	43	38	$72.00	$44.70
73130 X-ray of hand, minimum of 3 views	38	30	$70.00	$43.34
20526 Injection of carpal tunnel	21	17	$129.00	$89.84
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance	20	17	$136.30	$89.52
26123 Removal of connective tissue of palm and release of finger, first digit	15	15	$1874.00	$913.15
29075 Application of elbow to finger cast	13	11	$142.00	$98.59
73030 X-ray of shoulder, minimum of 2 views	12	11	$66.00	$40.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	553	229	$6.31	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	507	360	$107.00	$98.97
20550 Injection into tendon or ligament	272	192	$110.61	$58.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	263	263	$166.00	$121.61
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	215	180	$180.00	$65.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	118	$162.00	$140.16
73140 X-ray of finger, minimum of 2 views	70	59	$72.00	$44.29
73130 X-ray of hand, minimum of 3 views	63	44	$70.00	$42.94
73110 X-ray of wrist, minimum of 3 views	63	50	$81.00	$48.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$252.00	$178.26
64721 Release and/or relocation of hand nerve	50	46	$967.86	$467.17
73030 X-ray of shoulder, minimum of 2 views	23	20	$66.00	$40.42
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance	21	19	$103.00	$92.09
26055 Incision of tendon covering	17	16	$970.00	$267.00
73080 X-ray of elbow, minimum of 3 views	16	13	$72.00	$37.95
26123 Removal of connective tissue of palm and release of finger, first digit	14	14	$1874.00	$913.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	496	341	$107.00	$99.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	236	236	$166.00	$122.36
20550 Injection into tendon or ligament	222	155	$110.00	$57.34
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	200	161	$180.00	$64.63
J1030 Injection, methylprednisolone acetate, 40 mg	179	136	$7.50	$5.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	145	63	$3.09	$1.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	97	$162.00	$141.14
73140 X-ray of finger, minimum of 2 views	80	60	$72.00	$43.16
73110 X-ray of wrist, minimum of 3 views	70	52	$81.00	$46.63
73130 X-ray of hand, minimum of 3 views	70	45	$70.00	$41.78
64721 Release and/or relocation of hand nerve	66	60	$966.92	$451.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$252.00	$181.82
26055 Incision of tendon covering	22	20	$970.00	$287.65
73080 X-ray of elbow, minimum of 3 views	18	17	$72.00	$36.93
73030 X-ray of shoulder, minimum of 2 views	18	17	$66.00	$39.31
20526 Injection of carpal tunnel	18	17	$129.00	$88.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	480	338	$107.00	$81.55
J1030 Injection, methylprednisolone acetate, 40 mg	236	164	$7.50	$6.06
20550 Injection into tendon or ligament	214	148	$110.00	$54.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	211	211	$166.00	$116.76
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	184	148	$180.00	$63.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	86	$162.00	$117.77
73110 X-ray of wrist, minimum of 3 views	69	50	$81.00	$43.78
64721 Release and/or relocation of hand nerve	62	56	$964.00	$445.48
73140 X-ray of finger, minimum of 2 views	55	48	$72.00	$40.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$252.00	$176.69
73130 X-ray of hand, minimum of 3 views	42	33	$70.00	$39.21
73030 X-ray of shoulder, minimum of 2 views	30	24	$66.00	$36.24
26055 Incision of tendon covering	29	25	$970.00	$263.99
73080 X-ray of elbow, minimum of 3 views	18	17	$72.00	$34.83
26123 Removal of connective tissue of palm and release of finger, first digit	14	14	$1874.00	$906.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	573	394	$107.00	$78.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	262	262	$166.00	$113.77
J1030 Injection, methylprednisolone acetate, 40 mg	255	184	$7.50	$6.29
20550 Injection into tendon or ligament	227	157	$110.00	$52.07
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	201	162	$180.00	$61.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	106	$162.00	$114.63
73140 X-ray of finger, minimum of 2 views	89	78	$72.00	$36.91
73110 X-ray of wrist, minimum of 3 views	88	65	$81.00	$39.98
64721 Release and/or relocation of hand nerve	73	64	$964.00	$424.37
73130 X-ray of hand, minimum of 3 views	66	52	$70.00	$36.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$252.00	$172.84
73030 X-ray of shoulder, minimum of 2 views	29	24	$66.00	$33.07
73100 X-ray of wrist, 2 views	28	18	$67.00	$33.29
26055 Incision of tendon covering	27	25	$822.78	$297.23
73080 X-ray of elbow, minimum of 3 views	18	16	$72.00	$32.77
29075 Application of elbow to finger cast	14	13	$142.00	$93.18
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance	12	12	$103.00	$78.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	569	406	$107.00	$76.70
J1030 Injection, methylprednisolone acetate, 40 mg	230	182	$7.50	$6.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	220	220	$166.00	$112.90
20550 Injection into tendon or ligament	185	146	$110.00	$51.50
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	162	144	$180.00	$63.60
73130 X-ray of hand, minimum of 3 views	86	63	$70.00	$34.22
73140 X-ray of finger, minimum of 2 views	85	69	$72.00	$35.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	76	$162.00	$113.16
64721 Release and/or relocation of hand nerve	75	65	$964.00	$424.31
73110 X-ray of wrist, minimum of 3 views	54	48	$81.00	$38.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$252.00	$171.38
73030 X-ray of shoulder, minimum of 2 views	39	31	$66.00	$31.72
26055 Incision of tendon covering	37	33	$727.30	$280.67
73080 X-ray of elbow, minimum of 3 views	25	24	$72.00	$34.18
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance	22	19	$103.00	$76.02
J1040 Injection, methylprednisolone acetate, 80 mg	18	15	$15.00	$13.06
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	16	14	$146.63	$98.26
20526 Injection of carpal tunnel	14	13	$129.00	$80.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	666	447	$106.96	$75.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	245	245	$166.00	$111.73
J1030 Injection, methylprednisolone acetate, 40 mg	217	172	$7.50	$5.70
20550 Injection into tendon or ligament	167	135	$110.00	$51.77
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	152	133	$180.00	$63.59
73140 X-ray of finger, minimum of 2 views	100	83	$72.00	$33.73
73110 X-ray of wrist, minimum of 3 views	72	53	$81.00	$37.88
73130 X-ray of hand, minimum of 3 views	60	49	$70.00	$32.91
64721 Release and/or relocation of hand nerve	52	49	$964.00	$409.02
73030 X-ray of shoulder, minimum of 2 views	36	32	$66.00	$30.34
73080 X-ray of elbow, minimum of 3 views	27	24	$72.00	$33.29
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance	24	22	$103.00	$76.91
73100 X-ray of wrist, 2 views	21	12	$67.00	$29.89
26055 Incision of tendon covering	20	16	$705.00	$284.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$162.00	$111.60
J1040 Injection, methylprednisolone acetate, 80 mg	15	13	$15.00	$11.14
29075 Application of elbow to finger cast	12	11	$142.00	$91.75
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	12	12	$32.00	$19.07

Medical Specialties & State Licenses

CMS Verified: 2020-06-30

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A69430

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A694300 (CA)

Hospital & Practice Group Affiliations

Redwood Orthopaedic Surgery Associates Amc

208 Concourse Blvd, Santa Rosa, CA 954038210

Phone: 7075443400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Natalie Marks , PA-C

Physician Assistant - Surgical

NPI 1023137163

Physician Assistant (Certified)

Dr. Seth Ashraf , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1033739735

Doctor of Podiatric Medicine

Dr. Kent Yinger , MD

Specialist

NPI 1093815110

Doctor of Medicine (M.D.)

Luis Garcia , PA

Physician Assistant - Medical

NPI 1104101401

Physician Assistant

Dr. Kevin Howe , MD

Specialist

NPI 1225124076

Doctor of Medicine (M.D.)

Dr. Geoffrey Tompkins , MD

Specialist

NPI 1255427050

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2008

Registered at 208 CONCOURSE BLVD, #1, SANTA ROSA, CA 954038210 (Tel: 7075443400)

📍

Updated Business Mailing Address September 15, 2008

Registered at 208 CONCOURSE BLVD, #1, SANTA ROSA, CA 954038210 (Tel: 7075443400)

👤

Provider Name / Credentials Updated September 15, 2008

Recorded as MICHAEL GRAFE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2008

Specialist (License #A69430 in CA)

🟢

Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922194711

Entity Type:

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

Enumeration Date: October 05, 2006

Last Update: June 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

208 Concourse Blvd, #1

Santa Rosa, CA 954038210

Phone: 7075443400

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.