Active NPI 1851355325 Individual Practitioner Male Practitioner

Dr. Sam D. Graham , MD

Urology • Fishersville, VA

Professional Overview & Biography Verified Profile Summary

Dr. Sam Graham, MD is a registered healthcare professional specializing in Urology in Fishersville, VA. Practice services are available at 70 MEDICAL CENTER CIR STE 208 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

70 Medical Center Cir Ste 208

Fishersville, VA 22939

Telephone 5403325926

Fax 5403325930

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fishersville, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.8 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Fishersville, VA (381 Statewide)

Telehealth Adoption Rate

30.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.5% 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 (2019)

Reporting Year:

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	783	502	$197.79	$108.82
81003 Automated urinalysis test	459	322	$16.00	$2.44
36415 Insertion of needle into vein for collection of blood sample	362	259	$16.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	356	253	$37.00	$19.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$311.00	$164.74
99213 Established patient office or other outpatient visit, typically 15 minutes	75	59	$126.13	$74.38
52000 Diagnostic exam of bladder and urethra using an endoscope	74	60	$370.00	$191.34
51798 Ultrasound measurement of bladder capacity after voiding	38	33	$50.00	$12.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	24	$77.00	$45.15
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	37	12	$113.00	$30.91
76872 Ultrasound scan of pelvic region through rectum	19	19	$370.00	$128.54
55700 Biopsy of prostate gland	18	18	$410.00	$252.82
51700 Simple bladder irrigation and/or instillation	15	11	$307.00	$75.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$225.00	$137.51

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	1,290	721	$172.08	$106.51
81003 Automated urinalysis test	906	555	$16.00	$2.70
36415 Insertion of needle into vein for collection of blood sample	568	345	$16.00	$2.93
84153 Psa (prostate specific antigen) measurement, total	550	328	$37.00	$22.10
99213 Established patient office or other outpatient visit, typically 15 minutes	198	118	$120.05	$71.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	155	155	$311.00	$163.28
52000 Diagnostic exam of bladder and urethra using an endoscope	142	97	$370.00	$165.77
51798 Ultrasound measurement of bladder capacity after voiding	70	63	$50.00	$15.69
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	65	14	$113.00	$30.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$275.00	$144.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$77.00	$43.50
55700 Biopsy of prostate gland	24	24	$410.00	$249.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	21	$765.67	$146.86
76872 Ultrasound scan of pelvic region through rectum	24	24	$370.00	$96.31
51700 Simple bladder irrigation and/or instillation	23	23	$307.00	$72.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$225.00	$126.90
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	17	$646.00	$234.59
50590 Shock wave crushing of kidney stones	17	17	$1939.00	$577.12
G0103 Prostate cancer screening; prostate specific antigen test (psa)	17	17	$85.00	$22.26
99219 Hospital observation care, typically 50 minutes	13	13	$240.00	$135.23

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	1,159	668	$172.00	$105.68
81003 Automated urinalysis test	764	480	$16.00	$3.01
36415 Insertion of needle into vein for collection of blood sample	504	323	$16.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	492	313	$37.00	$24.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	159	159	$311.00	$160.01
52000 Diagnostic exam of bladder and urethra using an endoscope	113	81	$370.00	$163.08
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	97	17	$744.00	$210.02
99213 Established patient office or other outpatient visit, typically 15 minutes	95	84	$120.00	$71.99
51798 Ultrasound measurement of bladder capacity after voiding	64	55	$50.00	$19.08
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	54	24	$113.00	$32.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	45	$275.00	$142.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	26	$77.00	$42.89
55700 Biopsy of prostate gland	32	31	$410.00	$245.81
76872 Ultrasound scan of pelvic region through rectum	31	30	$370.00	$94.16
50590 Shock wave crushing of kidney stones	23	22	$1939.00	$566.54
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	16	$1726.09	$149.02
51700 Simple bladder irrigation and/or instillation	16	14	$307.00	$72.07
64561 Insertion of sacral nerve neurostimulator electrode array	14	14	$1350.00	$815.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$225.00	$135.11

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License VA 0101 057504

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1851355325 (VA)

Medicaid State Provider ID

007502141 (VA)

Commercial Insurance / Payer ID Tricare

587608554 (VA)

Commercial Insurance / Payer ID Qualchoice

092640000-00 (VA)

Commercial Insurance / Payer ID Aetna Ppo

4502225 (VA)

Commercial Insurance / Payer ID Carenet

9590 (VA)

Commercial Insurance / Payer ID Aetna Hmo

3762531 (VA)

Commercial Insurance / Payer ID United Healthcare

1900016 (VA)

Commercial Insurance / Payer ID Carenet Eff 111506

66232 (VA)

Commercial Insurance / Payer ID Alliance

258638 (VA)

Secondary Practice Locations

7137 Jahnke Rd

Richmond, VA 232254017

Phone: 8043230226

7137 Jahnke Rd

Richmond, VA 232254017

Phone: 8043230226

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Carie Buckley , MD

Urology

NPI 1174511349

Doctor of Medicine (M.D.)

Dr. Matthew Risendal , DO

Urology

NPI 1669904488

Doctor of Osteopathic Medicine (D.O.)

Dr. Phillips Bryan , MD

Urology

NPI 1750379707

Doctor of Medicine (M.D.)

Dr. William Jones , MD

Urology

NPI 1841288891

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 16, 2018

Registered at 70 MEDICAL CENTER CIR STE 208, FISHERSVILLE, VA 22939 (Tel: 5403325926)

📍

Updated Business Mailing Address November 16, 2018

Registered at 70 MEDICAL CENTER CIR STE 208, FISHERSVILLE, VA 229392273 (Tel: 5403325926)

✅

NPI Profile Active January 10, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 10, 2008

Registered at 7137 JAHNKE RD, RICHMOND, VA 232254017 (Tel: 8043230226)

📍

Updated Business Mailing Address January 10, 2008

Registered at 7137 JAHNKE RD, RICHMOND, VA 232254017 (Tel: 8043230226)

👤

Provider Name / Credentials Updated January 10, 2008

Recorded as SAM GRAHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2008

Urology (License #0101 057504 in VA)

🟢

Initial NPI Registration & Enumeration April 13, 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: 1851355325

Entity Type:

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

Enumeration Date: April 13, 2006

Last Update: November 16, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

70 Medical Center Cir Ste 208

Fishersville, VA 229392273

Phone: 5403325926

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.