Active NPI 1720406580 Individual Practitioner Male Practitioner

Dr. Paul M Graham , DO, FAAD

Dermatology • Ormond Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Graham, DO, FAAD is a certified Dermatology practicing in Ormond Beach, FL. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Graham delivers high-quality medical care to the local community at 305 CLYDE MORRIS BLVD STE 150.

Dr. Graham is affiliated with Forefront Dermatology Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, tangential biopsy of single skin lesion, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

305 Clyde Morris Blvd Ste 150

Ormond Beach, FL 321748186

Telephone 3866151771

Fax 3866151545

Associated Practice Facility / Clinic

🏢 Gina Sevigny M D P A Facility NPI 1649314212

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Ormond Beach, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -12.4 yrs vs City Avg

City Avg: 25.4 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

10 Specialists

Practicing in Ormond Beach, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graham (13 Years) 13 Yrs

Ormond Beach Specialty Average (25.4 Years) 25.4 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
17003 Destruction of precancer skin growth, 2-14 growths	1,402	196	$9.42	$6.19
11102 Tangential biopsy of single skin lesion	353	247	$143.27	$82.58
17000 Destruction of skin growth	335	219	$97.85	$42.59
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	323	253	$1076.78	$596.80
11103 Biopsy of related skin growth, each additional growth	305	154	$72.18	$47.56
99213 Established patient office or other outpatient visit, typically 15 minutes	281	201	$131.65	$87.54
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	247	147	$631.51	$393.09
Q4187 Epicord, per square centimeter	228	33	$369.45	$242.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	124	$187.06	$123.22
17110 Destruction of up to 14 skin growths	115	88	$161.99	$103.76
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	112	87	$465.53	$251.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	67	$83.07	$54.68
97597 Removal of tissue from wound, 20.0 sq cm or less	89	44	$144.89	$95.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	33	$2.53	$1.01
17004 Destruction of precancer skin growth, 15 or more growths	70	58	$242.29	$159.92
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	67	56	$371.81	$117.36
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	58	53	$751.91	$281.34
11900 Injection into skin growth, 1-7 growths	49	31	$83.72	$44.54
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	46	36	$1117.03	$611.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$161.52	$108.99
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	45	44	$742.90	$231.70
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	45	42	$460.88	$161.30
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	40	38	$410.87	$145.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$245.82	$163.87
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	33	29	$232.74	$78.78
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	28	$249.46	$82.47
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	20	$255.45	$154.92
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	24	24	$1244.31	$741.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	23	$512.07	$134.32
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	22	17	$627.24	$371.35
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	22	22	$716.40	$203.83
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	22	22	$471.69	$162.34
69100 Biopsy of ear	20	19	$137.07	$52.36
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	19	16	$622.83	$377.31
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	17	17	$411.93	$199.14
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	16	16	$1326.26	$750.30
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	15	$209.70	$137.38
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	14	14	$624.15	$186.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,516	179	$9.62	$6.32
Q4187 Epicord, per square centimeter	426	53	$358.13	$234.94
11102 Tangential biopsy of single skin lesion	416	270	$148.75	$87.37
17000 Destruction of skin growth	346	208	$99.10	$42.09
99213 Established patient office or other outpatient visit, typically 15 minutes	334	208	$134.13	$87.54
11103 Biopsy of related skin growth, each additional growth	333	171	$73.90	$48.65
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	269	195	$1006.06	$630.97
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	186	125	$608.38	$399.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	131	$189.60	$124.62
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	151	108	$450.66	$259.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	90	$83.78	$55.11
17110 Destruction of up to 14 skin growths	132	105	$166.32	$105.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$166.11	$110.06
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	85	71	$422.47	$145.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$248.38	$162.72
97597 Removal of tissue from wound, 20.0 sq cm or less	71	38	$147.74	$96.91
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	64	52	$362.25	$117.57
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	58	54	$471.17	$165.41
17004 Destruction of precancer skin growth, 15 or more growths	46	37	$250.05	$164.76
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	46	41	$237.00	$84.50
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	40	31	$941.95	$611.56
11900 Injection into skin growth, 1-7 growths	38	29	$84.28	$43.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	35	25	$2.81	$1.07
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	29	$255.72	$83.94
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	30	25	$218.99	$124.50
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	25	$265.76	$159.81
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	26	25	$387.24	$202.25
69100 Biopsy of ear	24	22	$143.64	$54.96
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	22	13	$230.09	$92.62
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	20	15	$581.19	$381.72
11104 Punch biopsy, first skin growth	17	17	$185.75	$121.96
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	15	$453.97	$246.03
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	15	15	$232.77	$76.48
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	14	$1154.78	$757.53
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$416.05	$136.98
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$705.45	$231.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,143	175	$11.76	$6.93
17000 Destruction of skin growth	280	224	$127.20	$51.30
11102 Tangential biopsy of single skin lesion	273	227	$190.68	$94.40
99213 Established patient office or other outpatient visit, typically 15 minutes	269	209	$146.93	$94.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	132	$215.83	$132.35
17110 Destruction of up to 14 skin growths	120	103	$212.71	$113.80
17004 Destruction of precancer skin growth, 15 or more growths	110	85	$303.95	$176.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$206.33	$118.04
11103 Biopsy of related skin growth, each additional growth	96	71	$103.48	$53.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$322.71	$176.77
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	62	53	$1205.90	$612.06
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	47	43	$580.19	$274.96
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	39	26	$740.53	$410.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	14	$46.17	$1.15
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	35	18	$123.00	$63.23
11900 Injection into skin growth, 1-7 growths	25	19	$106.98	$45.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	21	$479.43	$129.07
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	18	16	$489.08	$156.18
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	17	16	$1224.33	$625.17
11104 Punch biopsy, first skin growth	15	15	$240.22	$133.63
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	14	$571.42	$179.62
99324 New patient assisted living visit, typically 20 minutes	11	11	$113.00	$55.79
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$348.90	$171.64
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$551.70	$178.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	941	138	$12.00	$6.44
17000 Destruction of skin growth	256	171	$132.00	$48.12
11102 Tangential biopsy of single skin lesion	237	181	$198.00	$93.68
99213 Established patient office or other outpatient visit, typically 15 minutes	202	132	$149.00	$94.89
17110 Destruction of up to 14 skin growths	113	81	$220.00	$111.93
11103 Biopsy of related skin growth, each additional growth	113	69	$107.00	$54.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$219.00	$118.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	69	$219.00	$133.21
17004 Destruction of precancer skin growth, 15 or more growths	98	65	$307.00	$171.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$333.00	$176.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	17	$50.00	$1.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	31	$614.00	$290.45
99324 New patient assisted living visit, typically 20 minutes	35	35	$113.00	$55.60
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	33	26	$1352.00	$629.96
11900 Injection into skin growth, 1-7 growths	26	16	$110.00	$40.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	21	$503.00	$126.71
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	20	$357.00	$166.77
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	21	15	$799.00	$400.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$90.00	$58.41
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	12	$537.00	$173.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	904	170	$12.24	$6.08
99213 Established patient office or other outpatient visit, typically 15 minutes	356	226	$155.86	$77.71
11102 Tangential biopsy of single skin lesion	283	265	$208.07	$91.31
17000 Destruction of skin growth	268	235	$136.27	$49.35
17004 Destruction of precancer skin growth, 15 or more growths	172	141	$327.02	$163.06
17110 Destruction of up to 14 skin growths	165	144	$230.88	$112.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	153	$226.82	$112.48
99202 New patient office or other outpatient visit, typically 20 minutes	142	142	$158.66	$79.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$223.14	$111.10
11103 Biopsy of related skin growth, each additional growth	102	70	$110.91	$52.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	42	39	$634.19	$301.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	37	18	$27.30	$1.44
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	31	$519.35	$132.97
11104 Punch biopsy, first skin growth	27	27	$261.92	$129.99
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	24	21	$371.74	$172.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	13	$34.00	$14.64
11900 Injection into skin growth, 1-7 growths	20	16	$114.52	$42.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$94.95	$46.63
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$431.39	$214.03
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$571.27	$141.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,315	213	$12.16	$5.97
99213 Established patient office or other outpatient visit, typically 15 minutes	448	268	$155.42	$76.32
11102 Tangential biopsy of single skin lesion	399	323	$208.76	$90.19
17000 Destruction of skin growth	398	290	$139.00	$47.86
17110 Destruction of up to 14 skin growths	259	212	$232.97	$111.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	167	$227.38	$111.51
17004 Destruction of precancer skin growth, 15 or more growths	191	138	$323.45	$158.59
11103 Biopsy of related skin growth, each additional growth	180	118	$112.64	$55.13
99202 New patient office or other outpatient visit, typically 20 minutes	148	148	$158.10	$78.56
99201 New patient office or other outpatient visit, typically 10 minutes	143	143	$96.12	$47.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	128	40	$8.00	$1.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$229.07	$111.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	59	55	$649.79	$315.92
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	46	44	$532.15	$161.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	40	$94.27	$46.60
11104 Punch biopsy, first skin growth	37	35	$262.26	$127.88
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	37	35	$524.47	$204.89
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	34	16	$307.10	$140.56
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	29	$373.92	$175.68
11900 Injection into skin growth, 1-7 growths	26	21	$116.12	$43.53
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	22	$360.11	$88.23
10040 Acne surgery	22	20	$231.96	$93.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	17	$34.00	$17.06
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$398.52	$173.09
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$610.49	$161.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	260	40	$11.29	$5.62
99213 Established patient office or other outpatient visit, typically 15 minutes	72	59	$152.02	$73.91
17000 Destruction of skin growth	67	60	$136.95	$53.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$227.74	$112.92
11100 Biopsy of single growth of skin and/or tissue	56	54	$220.98	$102.24
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$154.83	$77.13
17110 Destruction of up to 14 skin growths	47	41	$235.34	$112.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	16	$8.00	$1.71
11101 Biopsy of each additional growth of skin and/or tissue	24	16	$70.30	$34.86
17004 Destruction of precancer skin growth, 15 or more growths	22	20	$307.64	$152.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$91.60	$45.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$224.02	$111.12

Medical Specialties & State Licenses

CMS Verified: 2023-01-24

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL OS15142

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License FL OS15142

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology - Pediatric Dermatology

NUCC Taxonomy Code: 207NP0225X

State License FL OS15142

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License FL OS15142

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

107214900 (FL)

Hospital & Practice Group Affiliations

Forefront Dermatology Sc

1035 Primera Blvd, Lake Mary, FL 327462193

Phone: 4079920660

Secondary Practice Locations

900 N Swallow Tail Dr

Port Orange, FL 321296102

Phone: 3866151771

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Gina Sevigny , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1245399237

Doctor of Medicine (M.D.)

Dr. Reena Sachdev , MD

Dermatology

NPI 1790805729

Doctor of Medicine (M.D.)

Terri Bianchi , ARNP

Nurse Practitioner

NPI 1902966336

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location January 24, 2023

Registered at 305 CLYDE MORRIS BLVD STE 150, ORMOND BEACH, FL 321748186 (Tel: 3866151771)

📍

Updated Business Mailing Address January 24, 2023

Registered at 305 CLYDE MORRIS BLVD STE 150, ORMOND BEACH, FL 321748186 (Tel: 3866151771)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2021

Dermatology (License #OS15142 in FL)

📍

Updated Practice Location November 11, 2020

Registered at 870 111TH AVE N STE 4, NAPLES, FL 341081869 (Tel: 2396493090)

📍

Updated Practice Location July 13, 2020

Registered at 5210 WEBB RD, TAMPA, FL 336154518 (Tel: 8138829986)

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Updated Business Mailing Address July 13, 2020

Registered at 5210 WEBB RD, TAMPA, FL 336154518 (Tel: 8138829986)

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Provider Name / Credentials Updated July 13, 2020

Recorded as PAUL GRAHAM, DO, FAAD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Dermatology (License #OS15142 in FL)

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NPI Profile Active March 30, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 30, 2014

Registered at 5333 MCAULEY DR RM 5003, YPSILANTI, MI 481971020 (Tel: 7347123376)

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Updated Business Mailing Address March 30, 2014

Registered at 5333 MCAULEY DR RM 5003, YPSILANTI, MI 481971020 (Tel: 7347123376)

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Provider Name / Credentials Updated March 30, 2014

Recorded as PAUL GRAHAM, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2014

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration March 30, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720406580

Entity Type:

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

Enumeration Date: March 30, 2014

Last Update: January 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

305 Clyde Morris Blvd Ste 150

Ormond Beach, FL 321748186

Phone: 3866151771

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

⚠️ Medical Disclaimer

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