Monica Grafals, M.D.
NPI 1578622320ActiveIndividual· Internal Medicine· Avon, CO
Internal Medicine (M.D.) in Avon, Colorado, trained at University of Puerto Rico School of Medicine (class of 1998). Their prescriptions cost Medicare Part D more than their services did: $347,666 for 3,909 claims, against $58,300 paid for services in 2024. Mallinckrodt Hospital Products Inc. was the largest of 2 companies reporting payments in 2025, $34,519 in all, mostly speaking and faculty fees.
Overview
| NPI | 1578622320 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 7, 2006 |
| Last updated in NPPES | Aug 15, 2022 |
| Certified by provider | Aug 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | DR.0058055 | CO |
| Internal Medicine | 207R00000X | 236118 | MA |
| Internal Medicine, Nephrology | 207RN0300X | DR.0058055 | CO |
| Internal Medicine, Nephrology | 207RN0300X | 236118 | MA |
| Internal Medicine, Nephrology | 207RN0300X | MD424746 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 321 |
|---|---|
| Services billed | 1,821 across 60 procedure codes |
| Paid by Medicare | $58,300 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,909 · 7,352 30-day fills |
|---|---|
| Patients | 348 |
| Total drug cost | $347,666 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | University of Puerto Rico School of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Internal Medicine |
| Secondary specialties | Nephrology, Physical Medicine And Rehabilitation |
| Telehealth | Offers telehealth |
Medical group
- Colorado Mountain Medical, LLCVail, CO · 63 clinicians
Hospital affiliations
- St Anthony Summit Medical CenterFrisco, CO
- Vail Health HospitalVail, CO
- Valley View Hospital AssociationGlenwood Springs, CO
Industry payments (Open Payments)
- 2025$34,519 · 33 payments from 2 companies
- 2024$24,773 · 21 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mallinckrodt Hospital Products Inc. | $34,489 | 32 |
| Ani Pharmaceuticals, Inc. | $30.06 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$27,795 · 4 payments
- Travel and Lodging$5,955 · 13 payments
- Food and Beverage$768.56 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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