Provider Profile
Listed in the NPI registry as a nurse practitioner, Thomas R. Graffagnino, FNP-C practices in Livingston, TX. Thomas is also listed as specializing in nurse practitioner — family. Medicare claims data shows Thomas provided 328 services to 171 patients. The services billed most often include injection, dexamethasone sodium phosphate, 1 mg, new patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more, and injection of drug or substance under skin or into muscle.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
1501 W CHURCH ST STE 800
Livingston, TX 77351
328 services · 171 patients · 6 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Injection of drug or substance under skin or into muscle | Treatment | 96372 |
36 | As often as other peers in Nurse Practitioner |
| Injection, dexamethasone sodium phosphate, 1 mg | Drug given | J1100 |
141 | As often as other peers in Nurse Practitioner |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
66 | More often than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
33 | Less often than most peers in Nurse Practitioner |
| Automated urinalysis test | Lab test | 81003 |
28 | As often as other peers in Nurse Practitioner |
| Detection test by immunoassay with direct visual observation for influenza virus | Lab test | 87804 |
24 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Thomas R. Graffagnino is a nurse practitioner in Livingston, TX. That is the designation recorded for this NPI in the federal registry.
NPI registry
Thomas R. Graffagnino is listed at 1501 W Church St Ste 800, Livingston, TX 77351. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (936) 327-0191. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Thomas R. Graffagnino's National Provider Identifier is 1134604457. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Thomas R. Graffagnino attended Other, graduating in 2018. This comes from the CMS National Downloadable File.
CMS public data
Thomas R. Graffagnino has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Thomas R. Graffagnino provides treatments such as injection of drug or substance under skin or into muscle, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Thomas R. Graffagnino. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.