Doctor profile · Federal record
Dr. SHANE GRAHAM, PA-C
Physician Assistant · BOZEMAN, MT
- NPI 1376762104
- Accepts Medicare
- MIPS 92.8 / 100 · 2023
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1006 W MAIN ST
BOZEMAN, MT 597153219
(406) 414-4800 - Mailing address
-
915 HIGHLAND BLVD
BOZEMAN, MT 597156902
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- April 15, 2025
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Montana #623
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376762104. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
164
Distinct HCPCS
4
Medicare allowed
$11,223
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 72 | 67 | $56 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 67 | 66 | $71 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $83 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $114 |
In context: peer comparison
Among 27 peers in this city , average services per provider: 129. This provider delivers 1.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
42
Patients
42
Total drug cost
$365
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 18 | 18 | $107 |
| Cefuroxime (Cefuroxime Axetil) | Brand | 13 | 13 | $168 |
| Doxycycline Hyclate | Generic | 11 | 11 | $89 |