Active NPI 1275930554 Individual Practitioner Male Practitioner

Dr. L. David Graham , MD

Surgery • Martinsville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. L. Graham, MD is a certified Surgery practicing in Martinsville, VA. With approximately 36 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1990, Dr. Graham delivers high-quality medical care to the local community at 319 HOSPITAL DR STE 208.

Dr. Graham accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, 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

319 Hospital Dr Ste 208

Martinsville, VA 241121948

Telephone 2766562103

Fax 2763363248

Associated Practice Facility / Clinic

🏢 Martinsville Surgical Associates Pc Facility NPI 1275729006

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Martinsville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +6.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Martinsville, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graham (36 Years) 36 Yrs

Martinsville Specialty Average (30.0 Years) 30.0 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	124	78	$125.00	$84.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	30	$125.00	$44.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$255.00	$103.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	46	$250.00	$118.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	27	$850.00	$96.63
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$190.00	$74.85
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	12	$950.00	$280.70
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$850.00	$163.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	90	$122.69	$88.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$245.41	$109.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	32	$125.00	$48.31
99221 Initial hospital inpatient care per day, typically 30 minutes	34	33	$190.00	$80.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$250.00	$126.83
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	24	$850.00	$94.12
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	22	22	$948.86	$202.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$172.33	$119.48
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	15	15	$443.33	$149.13
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$850.00	$176.99
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$950.00	$310.06
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$850.00	$169.87

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	86	82	$250.00	$133.07
99213 Established patient office or other outpatient visit, typically 15 minutes	80	66	$95.00	$90.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	38	$150.00	$70.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	31	$125.00	$38.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$150.00	$110.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	33	$155.00	$125.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$850.00	$94.98
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	25	25	$850.00	$179.83
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$925.00	$207.60
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$190.00	$98.80
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$125.00	$72.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$950.00	$316.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$290.00	$195.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$210.00	$134.29

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	82	64	$155.00	$130.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	75	72	$250.00	$135.14
99213 Established patient office or other outpatient visit, typically 15 minutes	64	59	$95.00	$91.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	34	$150.00	$71.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	53	52	$850.00	$101.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$150.00	$111.16
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	25	23	$950.00	$306.39
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$850.00	$186.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$290.00	$199.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$210.00	$168.75
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1350.00	$255.62
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$125.00	$73.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$210.00	$136.46
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$850.00	$166.95
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$350.00	$157.07

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	100	97	$250.00	$138.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	56	$150.00	$72.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	60	$155.00	$108.33
99213 Established patient office or other outpatient visit, typically 15 minutes	70	57	$95.00	$73.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$150.00	$108.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	45	$850.00	$100.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	23	$125.00	$39.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$210.00	$160.76
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$850.00	$189.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$290.00	$203.68
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	17	$950.00	$325.10
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$850.00	$190.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1350.00	$262.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	146	74	$147.09	$69.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	127	119	$246.93	$130.56
99213 Established patient office or other outpatient visit, typically 15 minutes	72	61	$95.00	$69.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	58	$155.00	$102.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	62	$845.52	$105.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$150.00	$104.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	21	$121.05	$37.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$210.00	$157.71
45378 Diagnostic exam of large bowel using a flexible endoscope	25	23	$838.80	$176.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$70.00	$43.38
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$838.95	$181.19
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$125.00	$73.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$290.00	$194.06
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$925.00	$214.95
47562 Removal of gallbladder using an endoscope	14	14	$2600.00	$598.00
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$745.77	$93.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$941.82	$329.99
45380 Biopsy of large bowel using an endoscope	11	11	$930.00	$199.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	170	87	$125.00	$70.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	138	130	$220.00	$131.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$150.00	$103.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	42	$155.00	$103.51
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	51	49	$820.00	$106.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	30	$95.00	$37.81
99213 Established patient office or other outpatient visit, typically 15 minutes	50	43	$95.00	$70.12
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$780.00	$169.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$70.00	$42.14
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$780.00	$183.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$210.00	$153.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$290.00	$195.55
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$695.00	$101.10
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$125.00	$72.16
99201 New patient office or other outpatient visit, typically 10 minutes	17	17	$95.00	$43.08
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	12	$695.00	$257.41
45380 Biopsy of large bowel using an endoscope	13	13	$840.00	$192.94
43246 Insertion of stomach tube using a flexible endoscope	13	12	$985.00	$199.45
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$905.00	$318.06
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$840.00	$227.64
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$145.00	$97.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	126	66	$125.00	$71.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	88	84	$220.00	$135.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$150.00	$106.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	33	$95.00	$38.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	38	$820.00	$108.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$155.00	$105.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$210.00	$161.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$290.00	$200.15
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$752.62	$183.75
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$780.00	$188.98
45380 Biopsy of large bowel using an endoscope	18	18	$840.00	$188.90
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$95.00	$71.87
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$125.00	$73.55

Medical Specialties & State Licenses

CMS Verified: 2021-10-14

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101261221

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 TN 22168

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Scott Oneil , MD

Specialist

NPI 1841217932

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 14, 2021

Registered at 319 HOSPITAL DR STE 208, MARTINSVILLE, VA 241121948 (Tel: 2766562103)

📍

Updated Business Mailing Address October 14, 2021

Registered at 319 HOSPITAL DR STE 208, MARTINSVILLE, VA 241121948 (Tel: 2766562103)

👤

Provider Name / Credentials Updated October 14, 2021

Recorded as L. GRAHAM, M.D.

✅

NPI Profile Active March 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2015

Registered at 434 4TH ST, NEWPORT, TN 378213746 (Tel: 4236230419)

📍

Updated Business Mailing Address March 16, 2015

Registered at 434 4TH ST, SUITE 201, NEWPORT, TN 378213746 (Tel: 4236230419)

👤

Provider Name / Credentials Updated March 16, 2015

Recorded as LARRY GRAHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2015

Surgery (License #22168 in TN)

🟢

Initial NPI Registration & Enumeration December 02, 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: 1275930554

Entity Type:

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

Enumeration Date: December 02, 2014

Last Update: October 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

319 Hospital Dr Ste 208

Martinsville, VA 241121948

Phone: 2766562103

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.