DR. TONY R. GRAHAM M.D.
NPI 1942251285
Anesthesiology in Anderson, SC

Medicare Participation & PECOS Enrollment Status

Tony Graham is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Tony Graham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• PECOS PAC ID: 3870619158

  What is the PECOS Associate Control ID?
  A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

• PECOS Enrollment ID: I20180611000501

  What is the Provider Enrollment ID?
  The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

• Accepts Medicare Assignment? Yes

  What does it mean "accepts medicare assignment"?
  When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
  A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for heart artery bypass grafting on heart-lung machine

Anesthesia for heart artery bypass grafting on a heart-lung machine involves administering medications to induce sleep and eliminate pain during surgery. The heart-lung machine takes over heart and lung functions, ensuring blood flow and oxygen supply to the body.

This service was performed 27 times for 27 patients

Anesthesia for insertion of permanent heart pacemaker

Anesthesia for a permanent heart pacemaker insertion helps to ensure comfort and calmness during the procedure. It's typically a local anesthetic, numbing the area where the pacemaker is inserted. Sedation may also be given to help you relax. You'll be awake, but may not remember the procedure.

This service was performed 83 times for 83 patients

Anesthesia for insertion or replace of pacing heart defibrillator

Anesthesia for the insertion or replacement of a pacing heart defibrillator is a pain management process. It makes you comfortable during the procedure. It can be local, making you numb in a specific area, or general, where you're asleep and feel no pain.

This service was performed 36 times for 36 patients

Anesthesia for procedure on chest with 1 lung inflated

This procedure involves using anesthesia to ensure you feel no pain during a chest procedure where only one lung is inflated. It's a specialized technique that allows doctors to operate on one lung while the other continues to provide oxygen.

This service was performed 14 times for 14 patients

Anesthesia for procedure on heart and large blood vessels

Anesthesia for heart and large blood vessel procedures involves using medications to block sensation, ensuring you don't feel pain during surgery. It can be general (you're asleep) or regional (part of your body is numbed). It helps ensure comfort and safety throughout the operation.

This service was performed 38 times for 38 patients

Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year or older)

This procedure involves administering anesthesia to ensure comfort and safety during heart or large blood vessel operations. A heart-lung machine is used to take over the heart's function, allowing the surgeon to work on a still heart. Suitable for individuals aged 1 year and older.

This service was performed 18 times for 18 patients

Anesthesia for procedure to assess heart electrical activity

Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.

This service was performed 59 times for 58 patients

Anesthesia for x-ray on artery of brain, heart, or chest

Anesthesia is given before an x-ray of the brain, heart, or chest artery to ensure comfort and stillness. It helps to eliminate discomfort or pain during the procedure. It's administered by a trained professional, ensuring a safe and smooth procedure.

This service was performed 34 times for 34 patients

Insertion of artery tube for blood sampling or infusion through skin

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

This service was performed 31 times for 31 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older)

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

This service was performed 14 times for 14 patients

Insertion of tube in pulmonary artery for monitoring

This procedure involves placing a tube into your pulmonary artery, which is a blood vessel in your lungs. The tube helps monitor heart function and blood flow, providing vital information for your treatment. It's typically done under local anesthesia to minimize discomfort.

This service was performed 42 times for 42 patients

Ultrasound of heart blood flow, valves and chambers

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

This service was performed 43 times for 43 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

This service was performed 43 times for 43 patients

Ultrasound of heart with probe in esophagus, with report

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

This service was performed 41 times for 41 patients

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NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

The NPI number 1942251285 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

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Frequently Asked Questions