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Active NPI 1205901477 Individual Practitioner Male Practitioner

Michael Clyde Graham , PA

Physician Assistant • Potlatch, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Graham, PA is a certified Physician Assistant practicing in Potlatch, ID. With approximately 37 years of clinical experience since completing medical education in 1989, Michael Graham delivers high-quality medical care to the local community at 225 6TH ST.

Michael Graham is affiliated with Kootenai Urgent Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 6th St

Potlatch, ID 838555002

Telephone 2088832220

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Potlatch, ID

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs Matches City Avg
City Avg: 37.0 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Potlatch, ID (1261 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graham (37 Years) 37 Yrs
Potlatch Specialty Average (37.0 Years) 37.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
223 209 $170.05 $71.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
136 134 $240.48 $102.37
81003 Automated urinalysis test
58 56 $5.17 $2.17
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
47 47 $123.94 $50.28
87502 Detection test by nucleic acid for multiple types influenza virus
33 33 $199.17 $93.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
31 31 $212.97 $89.61
99202 New patient office or other outpatient visit, typically 20 minutes
25 25 $136.95 $57.38

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA594

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
807364300 (ID)

Hospital & Practice Group Affiliations

Kootenai Urgent Care Llc

700 W Ironwood Dr, Coeur D Alene, ID 838142656

Phone: 2086253640

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2012

Registered at 225 6TH ST, POTLATCH, ID 838555002 (Tel: 2088832220)

📍
Updated Business Mailing Address June 20, 2012

Registered at 225 6TH ST, POTLATCH, ID 838555002 (Tel: 2088832220)

👤
Provider Name / Credentials Updated June 20, 2012

Recorded as MICHAEL GRAHAM, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2012

Physician Assistant (License #PA594 in ID)

🟢
Initial NPI Registration & Enumeration November 22, 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: 1205901477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2006
Last Update: June 20, 2012
Sole Proprietor: No

Mailing Address

225 6th St

Potlatch, ID 838555002

Phone: 2088832220

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.