Active NPI 1982009288 Individual Practitioner Female Practitioner

Katie Marie Graham , APRN-CNP

Nurse Practitioner • Newark, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katie Graham, APRN-CNP is a certified Nurse Practitioner practicing in Newark, OH. With approximately 12 years of clinical experience since completing medical education in 2014, Katie Graham delivers high-quality medical care to the local community at 1980 TAMARACK RD.

Katie Graham is affiliated with Licking Memorial Health Professionals and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound measurement of bladder capacity after voiding, 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

1980 Tamarack Rd

Newark, OH 430551363

Telephone 2205647520

Associated Practice Facility / Clinic

🏢 Docoh1, Llc Facility NPI 1578935367

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Newark, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +5.1 yrs vs City Avg

City Avg: 6.9 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

24 Specialists

Practicing in Newark, OH (4294 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graham (12 Years) 12 Yrs

Newark Specialty Average (6.9 Years) 6.9 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
51798 Ultrasound measurement of bladder capacity after voiding	197	158	$34.00	$10.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	135	$195.00	$102.24
99213 Established patient office or other outpatient visit, typically 15 minutes	88	80	$138.00	$72.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	157	117	$34.00	$9.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	78	$195.00	$104.36
99213 Established patient office or other outpatient visit, typically 15 minutes	83	72	$138.00	$74.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$258.00	$137.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	89	75	$34.00	$9.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	61	$195.00	$106.60
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$138.00	$75.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$258.00	$137.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	118	$181.21	$106.91
51798 Ultrasound measurement of bladder capacity after voiding	116	94	$20.09	$9.64
99213 Established patient office or other outpatient visit, typically 15 minutes	66	58	$126.45	$76.52
51702 Simple insertion of temporary bladder tube	30	15	$98.40	$52.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$110.00	$60.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	114	$170.65	$90.36
99213 Established patient office or other outpatient visit, typically 15 minutes	88	67	$127.05	$62.69
51798 Ultrasound measurement of bladder capacity after voiding	82	73	$36.95	$9.60
51700 Simple bladder irrigation and/or instillation	37	33	$132.70	$60.97
81003 Automated urinalysis test	29	27	$11.03	$2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$260.00	$89.12
51702 Simple insertion of temporary bladder tube	18	13	$187.22	$50.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	16	$110.00	$62.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	197	142	$60.00	$11.73
99213 Established patient office or other outpatient visit, typically 15 minutes	140	109	$180.00	$59.46
81003 Automated urinalysis test	111	102	$10.00	$2.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	76	$265.00	$89.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$260.00	$89.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$395.00	$125.73
51702 Simple insertion of temporary bladder tube	34	14	$215.00	$50.52
51700 Simple bladder irrigation and/or instillation	29	23	$245.00	$60.83
51705 Removal of skin suture with change of bladder tube	28	11	$310.00	$77.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	241	213	$26.00	$2.71
51798 Ultrasound measurement of bladder capacity after voiding	153	140	$40.00	$14.68
99213 Established patient office or other outpatient visit, typically 15 minutes	142	138	$158.00	$59.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	104	$235.00	$87.89
51705 Removal of skin suture with change of bladder tube	27	17	$131.26	$75.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	450	407	$26.00	$3.01
51798 Ultrasound measurement of bladder capacity after voiding	266	249	$40.00	$17.87
99213 Established patient office or other outpatient visit, typically 15 minutes	254	249	$158.00	$59.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	196	$235.00	$87.33
51705 Removal of skin suture with change of bladder tube	117	28	$117.00	$73.98
51702 Simple insertion of temporary bladder tube	59	20	$68.00	$50.81
51741 Electronic assessment of bladder emptying	43	43	$97.00	$12.91

Medical Specialties & State Licenses

CMS Verified: 2022-12-09

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.16759

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OH APRN.CNP.16759

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0113641 (OH)

Hospital & Practice Group Affiliations

Licking Memorial Health Professionals

1980 Tamarack Rd, Newark, OH 430551363

Phone: 2205647520

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Derrick Reedus , MD

Urology

NPI 1194929463

Doctor of Medicine (M.D.)

Dr. Roy Brown , MD

Urology

NPI 1417990565

Doctor of Medicine (M.D.)

Dr. Adam Clemens , MD

Urology

NPI 1477798049

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

👤

Provider Name / Credentials Updated May 25, 2022

Recorded as KATIE GRAHAM, APRN-CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2022

Nurse Practitioner (License #APRN.CNP.16759 in OH)

📍

Updated Practice Location September 09, 2021

Registered at 1980 TAMARACK RD, NEWARK, OH 430551363 (Tel: 2205647520)

📍

Updated Business Mailing Address September 09, 2021

Registered at 1980 TAMARACK RD, NEWARK, OH 430551363 (Tel: 2205647520)

📍

Updated Business Mailing Address November 19, 2019

Registered at 700 ACKERMAN RD STE 2120, COLUMBUS, OH 432021559 (Tel: 6142938155)

📍

Updated Practice Location December 17, 2018

Registered at 915 OLENTANGY RIVER RD STE 2000, COLUMBUS, OH 432123159 (Tel: 6142938155)

📍

Updated Business Mailing Address December 17, 2018

Registered at 700 ACKERMAN RD STE 570, COLUMBUS, OH 432021579 (Tel: 6142938155)

👤

Provider Name / Credentials Updated December 17, 2018

Recorded as KATIE LONG, APRN-CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2018

Nurse Practitioner (License #APRN.CNP.16759 in OH)

✅

NPI Profile Active October 29, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 29, 2014

Registered at 1246 ASHLAND AVE BLDG 1, SUITE #106, ZANESVILLE, OH 437012861 (Tel: 7404506162)

📍

Updated Business Mailing Address October 29, 2014

Registered at 3953 CLEAR LAKE CIR, ZANESVILLE, OH 437019182 (Tel: 7406077274)

👤

Provider Name / Credentials Updated October 29, 2014

Recorded as KATIE LONG, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2014

Nurse Practitioner (License #16759 in OH)

🟢

Initial NPI Registration & Enumeration October 29, 2014

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: 1982009288

Entity Type:

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

Enumeration Date: October 29, 2014

Last Update: December 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1980 Tamarack Rd

Newark, OH 430551363

Phone: 2205647520

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.