Active NPI 1568465474 Individual Practitioner Male Practitioner

Dr. Thomas W Grahm , MD

Neurological Surgery • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Grahm, MD is a registered healthcare professional specializing in Neurological Surgery in Tyler, TX. Practice services are available at 700 OLYMPIC PLAZA CIR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

700 Olympic Plaza Cir
Ste 850

Tyler, TX 757011955

Telephone 9035952441

Fax 9035950743

Associated Practice Facility / Clinic

🏢 Tyler Obstetrics And Gynecology L L P Facility NPI 1265493266

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.3 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

13 Specialists

Practicing in Tyler, TX (703 Statewide)

Telehealth Adoption Rate

23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	61	50	$240.00	$86.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$525.00	$165.90
99291 Critical care, first 30-74 minutes	31	19	$428.00	$203.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$344.00	$106.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$340.00	$122.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$204.00	$75.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$495.00	$159.91

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	44	38	$340.00	$123.34
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$240.00	$87.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$350.00	$125.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$495.00	$160.83
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$260.00	$80.10
69990 Use of operating microscope	16	16	$665.00	$193.52
99291 Critical care, first 30-74 minutes	16	11	$428.00	$206.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$144.00	$54.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$344.00	$107.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$495.00	$161.96
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$240.00	$88.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$340.00	$124.68
99291 Critical care, first 30-74 minutes	29	16	$428.00	$209.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$350.00	$129.87
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$260.00	$92.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$144.00	$54.86
61796 Computer-assisted radiosurgery of simple growth of brain, first growth	19	14	$3150.00	$951.27
69990 Use of operating microscope	17	17	$634.12	$180.03
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$4457.38	$650.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$344.00	$108.61
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	11	11	$2650.00	$824.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	54	$240.00	$89.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$340.00	$124.28
99221 Initial hospital inpatient care per day, typically 30 minutes	38	37	$260.00	$97.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$495.00	$163.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$344.00	$109.20
61781 Computer-assisted procedure inside brain	14	14	$775.00	$218.82
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	12	$5486.00	$961.07
69990 Use of operating microscope	13	13	$700.00	$201.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$350.00	$131.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$228.30	$72.39
99221 Initial hospital inpatient care per day, typically 30 minutes	46	46	$260.00	$97.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$495.89	$160.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	28	$377.06	$106.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$344.00	$101.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$144.00	$43.94
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	14	$756.70	$231.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	12	$119.00	$37.60
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	15	15	$2650.00	$823.14
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	15	15	$4940.13	$1473.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$350.00	$135.94
69990 Use of operating microscope	13	13	$613.85	$182.70
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	12	$4853.00	$738.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	52	$190.00	$70.14
99221 Initial hospital inpatient care per day, typically 30 minutes	50	50	$260.00	$98.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$275.00	$104.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	27	$117.58	$38.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$410.00	$158.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$268.00	$103.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	30	$115.00	$43.32
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	21	$758.82	$234.22
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$4343.08	$786.44
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	16	16	$4977.00	$1426.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$339.47	$133.63
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	14	13	$205.00	$18.64
61781 Computer-assisted procedure inside brain	14	14	$775.00	$232.42
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	11	11	$2650.00	$828.80
69990 Use of operating microscope	11	11	$700.00	$214.41

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	76	76	$275.00	$102.73
99213 Established patient office or other outpatient visit, typically 15 minutes	68	60	$190.00	$70.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	52	$115.00	$41.68
99221 Initial hospital inpatient care per day, typically 30 minutes	44	44	$257.05	$96.98
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	31	21	$610.24	$179.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	19	$119.00	$38.27
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	29	28	$3499.69	$530.97
63048 Partial removal of spine bone with release of spinal cord and/or nerves	27	16	$889.50	$91.40
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	21	21	$4055.33	$1200.01
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	20	20	$2650.00	$819.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$347.06	$133.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$163.00	$71.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$410.00	$158.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	75	$184.72	$69.86
99221 Initial hospital inpatient care per day, typically 30 minutes	77	76	$260.52	$98.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$275.00	$102.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	53	$110.00	$41.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	25	$118.42	$38.09
63048 Partial removal of spine bone with release of spinal cord and/or nerves	36	23	$1260.13	$139.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	27	$163.00	$70.06
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	30	30	$4525.95	$787.30
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	22	22	$4122.36	$1219.78
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	22	18	$762.34	$196.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$350.00	$132.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$410.00	$157.48
61886 Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays	11	11	$2650.00	$816.41

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License TX H8659

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Mark Renfro , MD

Neurological Surgery

NPI 1003819913

Doctor of Medicine (M.D.)

Dr. Jon Ledlie , MD

Neurological Surgery

NPI 1033112941

Doctor of Medicine (M.D.)

Kylie Carimi , APRN, FNP-C

Nurse Practitioner

NPI 1174276737

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Amanda Shipp , NP

Nurse Practitioner

NPI 1336757228

Nurse Practitioner

Rachael Phillips , FNP-C

Nurse Practitioner - Family

NPI 1346056645

Family Nurse Practitioner (Certified)

Dr. Paul Detwiler , MD

Neurological Surgery

NPI 1447253356

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 700 OLYMPIC PLAZA CIR, STE 850, TYLER, TX 757011955 (Tel: 9035952441)

📍

Updated Business Mailing Address July 08, 2007

Registered at 700 OLYMPIC PLAZA CIR, STE 850, TYLER, TX 757011955 (Tel: 9035952441)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS GRAHM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Neurological Surgery (License #H8659 in TX)

🟢

Initial NPI Registration & Enumeration May 24, 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: 1568465474

Entity Type:

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

Enumeration Date: May 24, 2005

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

700 Olympic Plaza Cir, Ste 850

Tyler, TX 757011955

Phone: 9035952441

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.