Doctor profile · Federal record

Dr. Monica Grafals, M.D.

Internal Medicine Physician (CMS: Internal Medicine) · Internal Medicine Physician · Nephrology Physician · Nephrology Physician · Nephrology Physician · Avon, CO

  • NPI 1578622320
  • Accepts Medicare
  • 28 yrs in practice
  • Licensed in 3 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
50 Buck Creek RD Ste 200
Avon, CO 816205428
(709) 266-3409
fax (970) 926-6348
Mailing address
Po Box 4330
Avon, CO 816204330

Credentials & registration

NPPES · NUCC
NPI registered
December 2006 — 20 yrs on file
Profile last updated
August 15, 2022
Year of graduation
1998 — 28 yrs since
Specialty taxonomy
207R00000X — NUCC code
State licenses (3)
Colorado #DR.0058055 · Massachusetts #236118 · Pennsylvania #MD424746
Medicaid
MA #110080681A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1578622320. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,460
Distinct HCPCS
10
Medicare allowed
$75,296
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 267 177 $86
99213 Established patient office or other outpatient visit, 20-29 minutes 161 127 $68
80053 Blood test, comprehensive group of blood chemicals 158 140 $10
81003 Automated urinalysis test 149 132 $2
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 127 52 $156
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 126 117 $8
36415 Insertion of needle into vein for collection of blood sample 102 94 $8
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 82 82 $47
84443 Blood test, thyroid stimulating hormone (tsh) 64 62 $16
80061 Blood test, lipids (cholesterol and triglycerides) 54 54 $13

In context: peer comparison

Among 4 peers in Avon Internal Medicine Physician, average services per provider: 88. This provider delivers 17× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$24,773
Transactions
21
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Mallinckrodt Hospital Products INC. 15 $24,564.23
Amgen INC. 2 $110.10
Ani Pharmaceuticals, INC. 3 $72.29
Calliditas Therapeutics US INC. 1 $26.83

By nature of payment

Compensation for Services Other Than Consulting, Including Serving As Faculty or As A Speaker at A Venue Other Than A Continuing Education Program
$15,080
Travel and Lodging
$4,898
Consulting Fee
$4,050
Food and Beverage
$745

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,251
Patients
378
Total drug cost
$17,016
Drug Type Claims Patients Total cost
Levothyroxine Sodium Generic 164 44 $2,344
Atorvastatin Calcium Generic 148 52 $1,669
Amlodipine Besylate Generic 140 54 $1,250
Rosuvastatin Calcium Generic 105 36 $1,577
Lisinopril Generic 82 26 $604
Metoprolol Succinate Generic 81 28 $1,377
Losartan Potassium Generic 79 33 $1,220
Gabapentin Generic 73 18 $924
Duloxetine Hcl Generic 70 0 $1,131
Tamsulosin Hcl Generic 62 22 $1,039

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Monica Grafals's medical specialty?
Dr. Monica Grafals practices Internal Medicine Physician in Avon, CO.
Where does Dr. Monica Grafals practice?
Dr. Monica Grafals practices at 50 Buck Creek RD Ste 200, Avon, CO 816205428. Office phone: 7092663409.
What is Dr. Monica Grafals's NPI?
Dr. Monica Grafals's National Provider Identifier (NPI) is 1578622320, issued by NPPES.
Does Dr. Monica Grafals accept Medicare assignment?
Yes. Dr. Monica Grafals accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Monica Grafals commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Blood test, comprehensive group of blood chemicals (HCPCS 80053). Source: CMS Medicare Physician & Other Practitioners file.