GARY ROBERT GRAHAM M.D. NPI 1538160692

NPI Information

  • NPI: 1538160692
  • Provider Name: GARY ROBERT GRAHAM, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2776 ENTERPRISE RD # 100
    ORANGE CITY, FL
    ZIP 32763
  • Phone: (386) 774-1223

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NPI Details

Gary Robert Graham, M.D. is a radiation oncology radiology in Orange City, FL with 37 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Gary Robert Graham, M.D. NPI is 1538160692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

2776 ENTERPRISE RD # 100
ORANGE CITY, FL
ZIP 32763-316
Phone: (386) 774-1223
Fax: (386) 774-4658

The NPI 1538160692 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS:G6012)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev (HCPCS:G6013)
  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Complex radiation therapy planning (HCPCS:77263)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Injection of drug or substance into vein (HCPCS:96374)
  • Design and construction of simple radiation treatment device (HCPCS:77332)
  • X-ray during radiation therapy (HCPCS:77417)
  • Special radiation treatment (HCPCS:77470)
  • 3d radiation therapy planning (HCPCS:77295)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)

The enumeration date for this NPI number is 8/10/2005 and was last updated on 12/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyME68452FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1379101700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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