Active NPI 1376525253 Individual Practitioner Male Practitioner

Dr. Andre Dean Graham , MD

Surgery • Hillsboro, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andre Graham, MD is a certified Surgery practicing in Hillsboro, TX. With approximately 28 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1998, Dr. Graham delivers high-quality medical care to the local community at 117 JANE LN.

Dr. Graham is affiliated with North Texas Surgical Specialists Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit, established 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

117 Jane Ln

Hillsboro, TX 766452673

Telephone 6822243748

Fax 6828410039

Associated Practice Facility / Clinic

🏢 North Texas Surgical Specialists Pllc Facility NPI 1831625292

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hillsboro, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs Matches City Avg

City Avg: 28.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Hillsboro, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graham (28 Years) 28 Yrs

Hillsboro Specialty Average (28.0 Years) 28.0 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	56	$382.00	$125.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$494.40	$159.99
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$268.67	$89.36
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1107.00	$114.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$335.11	$107.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$379.11	$122.66
99213 Established patient office or other outpatient visit, typically 15 minutes	24	16	$265.00	$86.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$1116.00	$108.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$166.00	$54.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$499.00	$149.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	33	$316.56	$87.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$389.20	$105.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$589.41	$160.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$1400.18	$116.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$396.06	$129.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$329.31	$111.81
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$261.30	$91.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$502.00	$159.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$1158.23	$110.36
47562 Removal of gallbladder using an endoscope	12	12	$1878.33	$561.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$225.00	$105.85
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$154.89	$73.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$745.16	$100.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$92.64	$44.46
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$841.00	$169.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$225.00	$105.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	61	59	$585.00	$107.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	27	$85.00	$38.25
99213 Established patient office or other outpatient visit, typically 15 minutes	47	41	$105.00	$70.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$225.00	$130.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$280.00	$155.94
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$433.26	$184.80
45378 Diagnostic exam of large bowel using a flexible endoscope	24	23	$918.00	$181.68
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	13	13	$3915.00	$1122.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$170.00	$103.94
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$10000.00	$430.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	66	$105.00	$69.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$280.00	$156.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	42	$110.00	$70.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	61	60	$585.00	$115.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$225.00	$132.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$170.00	$102.74
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$433.26	$180.63
45378 Diagnostic exam of large bowel using a flexible endoscope	28	27	$918.00	$179.72
47562 Removal of gallbladder using an endoscope	19	19	$1850.00	$623.30
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	13	13	$7692.31	$384.36

Medical Specialties & State Licenses

CMS Verified: 2023-04-21

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX M5731

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 228186

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

185966202 (TX)

Medicaid State Provider ID

185966203 (TX)

Commercial Insurance / Payer ID Bcbs

8BR115 (TX)

Hospital & Practice Group Affiliations

North Texas Surgical Specialists Pllc

9 Medical Pkwy, Dallas, TX 752347852

Phone: 4698254855

Secondary Practice Locations

2700 W Pleasant Run Rd Ste 370

Lancaster, TX 751461078

Phone: 6822243748

514 S Bonham St Ste B

Mexia, TX 766673664

Phone: 6822243748

2203 W Lampasas St Ste 218

Ennis, TX 751195668

Phone: 6822243748

400 Hospital Dr Ste 104

Corsicana, TX 751102489

Phone: 6822243748

2302 Lone Star Rd Ste 160, Professional 1

Mansfield, TX 760638750

Phone: 6822243748

Practice Associates & Co-Workers

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

23 Associated Practitioners

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Surgery

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Dr. Irene Yu , MD

Colon & Rectal Surgery

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Doctor of Medicine (M.D.)

Danisha Huddleston

Physician Assistant - Surgical

NPI 1184064792

Dr. Ashley Mekala , DO

Surgery

NPI 1205197217

Doctor of Osteopathic Medicine (D.O.)

Dr. Paresh Rajajoshiwala , MD

Surgery

NPI 1225090939

Doctor of Medicine (M.D.)

Dr. John Paek , DO

Surgery

NPI 1225452907

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 21, 2023

Registered at 117 JANE LN, HILLSBORO, TX 766452673 (Tel: 6822243748)

📍

Updated Business Mailing Address April 21, 2023

Registered at 800 8TH AVE STE 306, FORT WORTH, TX 761042602 (Tel: 6822243748)

✅

NPI Profile Active June 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2010

Registered at 1305 W JEFFERSON ST STE 120, WAXAHACHIE, TX 751652251 (Tel: 9729231457)

📍

Updated Business Mailing Address June 28, 2010

Registered at 8040 CLARK CT, OVILLA, TX 751545559 (Tel: 7023000655)

👤

Provider Name / Credentials Updated June 28, 2010

Recorded as ANDRE GRAHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2010

Surgery (License #M5731 in TX)

🟢

Initial NPI Registration & Enumeration November 16, 2005

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: 1376525253

Entity Type:

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

Enumeration Date: November 16, 2005

Last Update: April 21, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

800 8th Ave Ste 306

Fort Worth, TX 761042602

Phone: 6822243748

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.