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Dr. Carmelo Graffagnino, MD

(Dr. Carmelo Graffagnino, MD)

(No ratings)

Specializes in: Vascular Neurology

The University of Western Ontario, Schulich School of Medicine & Dentistry (1985)

Professional interests include: eye problems, stroke, carotid artery disease, and more.

40 Duke Medicine Circle
Durham, NC 27710

(919) 681-1700

Dr. Carmelo Graffagnino, MD is a vascular neurologist in Durham, NC specializing in vascular neurology. He graduated from The University of Western Ontario, Schulich School of Medicine & Dentistry in 1985 and has 41 years of experience. Dr. Carmelo Graffagnino, MD is affiliated with Duke Health.

Office Locations

2100 Erwin Road
Durham, NC 27710

(919) 684-8111

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Duke Health

2301 Erwin Road
Durham, NC 27705

(919) 684-8111

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Duke Health

3643 N Roxboro Street
Durham, NC 27704

(919) 470-4000

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Duke Health

40 Duke Medicine Circle
Durham, NC 27710

(919) 681-1700

(919) 668-1294

open_in_new

Some issues Dr. Carmelo Graffagnino, MD can help you with:

Eye Problems

Millions of people every year have problems with their eyes. Some of the most common eye problems are refractive disorders, glaucoma, diabetic retinopathy, macular degeneration, and cataracts.

Refractive disorders happen when the shape of the eye doesn't let allow someone focus very precisely. They might be myopic (nearsighted), hyperopic (farsighted), or have an astigmatism, which is a focus problem caused by the cornea. Refractive disorders can be corrected by glasses or contacts.

Glaucoma is the leading cause of blindness in the United States. It happens when fluid pressure builds up within the eye and damages the optic nerve. It is treated with medications and surgery.

Diabetic retinopathy is a common complication of diabetes. The retina is tissue at the back of the eye that is filled with numerous, tiny blood vessels. When diabetes damages these delicate blood vessels, they burst or leak, leading to blind spots and blurred vision. Diabetic retinopathy can be treated with laser therapy and surgery, but often vision cannot be restored.

Macular degeneration is common in older adults. The macula is the central part of the retina and is responsible for crisp center vision. Over time, the cells in the macula begin to die, making central vision blurry. An early symptom of macular degeneration is that straight lines appear wavy.

Cataracts happen when the clear lens in the front of the eye becomes cloudy, making things look blurry or faded. They are extremely common in older people. By age 80, more than half of all Americans will have had a cataract. In early stages, prescription glasses and magnifying lenses can help. As the cataracts get worse, surgery to replace the lens may be the best option.

More than just one of the five senses, the eyes are heavily relied upon to communicate, work, and get around every day. It's important to have regular eye exams for vision stays in good shape for years to come.

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

In The News

“Even though the new study findings are "exciting," Dr. Carmelo Graffagnino, a vascular neurologist at Duke Health and medical director of the Duke Comprehensive Stroke Center in Durham, North...”—"There s more time than thought to treat a stroke, study finds", CNN, May 2019

“"It's very common for someone who's had a fall or been in a car accident to appear perfectly lucid just after the impact but then to suddenly, rapidly deteriorate," Dr. Carmelo Graffagnino,...”—"HEAD INJURIES", Las Vegas Review-Journal, June 2009

“"That leaves 95 percent of people with only our best supportive care and rehab," said Dr. Carmelo Graffagnino, a Duke University neurologist who is participating in the NeuroThera trial.”—"Experimental device may expand treatment for strokes", East Bay Times, September 2007

Noteworthy Medicare Patient Procedures Performed by Dr. Carmelo Graffagnino, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Affordability:

hospital care

inpatient care

inpatient hospital care

In 2012, Dr. Carmelo Graffagnino, MD had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 75% of providers in related specialties within North Carolina. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2012 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

doctor visit	431
hospital care	496
inpatient care	496
ultrasound (sonogram)	136
vascular procedures	136

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2013 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

doctor visit	319
hospital care	338
inpatient care	338
ultrasound (sonogram)	63
vascular procedures	63

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	204
Female	232

**Ethnicity**
Non-Hispanic White	294
Black	124
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	175
From 75 to 84	118
85 and over	57
Less than 65	86

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2013

Hypertension	75
High Cholesterol	71
Stroke	74
Ischemic Heart Disease	45
Depression	33
Chronic Kidney Disease	37
Asthma	6
Osteoperosis	8
Atrial Fibrilation	19
Heart Failure	30
Chronic Obstructive Pulmonary Disease	16
Diabetes	41
Dementia	17
Cancer	13

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2014 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

doctor visit	109
hospital care	240
inpatient care	240
ultrasound (sonogram)	22
vascular procedures	22

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	148
Female	156

**Ethnicity**
Non-Hispanic White	210
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	117
From 75 to 84	81
85 and over	53
Less than 65	53

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2014

Hypertension	75
High Cholesterol	72
Stroke	66
Ischemic Heart Disease	45
Depression	34
Chronic Kidney Disease	36
Asthma	7
Osteoperosis	8
Atrial Fibrilation	19
Heart Failure	30
Chronic Obstructive Pulmonary Disease	16
Diabetes	38
Dementia	20
Cancer	14

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2015 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

doctor visit	107
hospital care	368
inpatient care	368
ultrasound (sonogram)	68
vascular procedures	68

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	310
Female	340

**Ethnicity**
Non-Hispanic White	436
Black	192
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	256
From 75 to 84	196
85 and over	86
Less than 65	112

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2015

Hypertension	75
High Cholesterol	75
Stroke	74
Ischemic Heart Disease	50
Depression	32
Chronic Kidney Disease	41
Asthma	18
Osteoperosis	8
Atrial Fibrilation	24
Heart Failure	36
Chronic Obstructive Pulmonary Disease	21
Diabetes	42
Dementia	22
Cancer	14

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2016 were hospital care and inpatient care.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

doctor visit	132
hospital care	475
inpatient care	475

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	142
Female	180

**Ethnicity**
Non-Hispanic White	209
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	134
From 75 to 84	90
85 and over	33
Less than 65	65

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2016

Hypertension	75
High Cholesterol	75
Stroke	73
Ischemic Heart Disease	41
Depression	41
Chronic Kidney Disease	45
Asthma	23
Osteoperosis	9
Atrial Fibrilation	20
Heart Failure	29
Chronic Obstructive Pulmonary Disease	20
Diabetes	42
Dementia	27
Cancer	12

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2017 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

doctor visit	233
hospital care	220
inpatient care	220
ultrasound (sonogram)	55
vascular procedures	55

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	150
Female	169

**Ethnicity**
Non-Hispanic White	200
Black	104
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	115
From 75 to 84	94
85 and over	41
Less than 65	69

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2017

Hypertension	75
High Cholesterol	75
Stroke	69
Ischemic Heart Disease	47
Depression	39
Chronic Kidney Disease	49
Asthma	8
Osteoperosis	8
Atrial Fibrilation	20
Heart Failure	30
Chronic Obstructive Pulmonary Disease	20
Diabetes	36
Dementia	19
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2018 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

doctor visit	226
hospital care	392
inpatient care	380
outpatient care	12
ultrasound (sonogram)	49
vascular procedures	49

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	179
Female	189

**Ethnicity**
Non-Hispanic White	249
Black	103
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	132
From 75 to 84	113
85 and over	59
Less than 65	64

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2018

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	49
Depression	38
Chronic Kidney Disease	45
Asthma	8
Osteoperosis	8
Atrial Fibrilation	23
Heart Failure	29
Chronic Obstructive Pulmonary Disease	16
Diabetes	38
Dementia	23
Cancer	13

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2019 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

doctor visit	203
hospital care	385
inpatient care	385
ultrasound (sonogram)	63
vascular procedures	63

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	200
Female	177

**Ethnicity**
Non-Hispanic White	255
Black	110
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	141
From 75 to 84	114
85 and over	55
Less than 65	67

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	74
Ischemic Heart Disease	48
Depression	42
Chronic Kidney Disease	48
Asthma	9
Osteoperosis	10
Atrial Fibrilation	24
Heart Failure	33
Chronic Obstructive Pulmonary Disease	23
Diabetes	39
Dementia	30
Cancer	12

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2020 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

doctor visit	70
hospital care	121
inpatient care	121
ultrasound (sonogram)	43
vascular procedures	43

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	117
Female	126

**Ethnicity**
Non-Hispanic White	146
Black	81
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	91
From 75 to 84	82
85 and over	20
Less than 65	50

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2020

Hypertension	75
High Cholesterol	74
Stroke	54
Ischemic Heart Disease	45
Depression	42
Chronic Kidney Disease	54
Asthma	7
Osteoperosis	6
Atrial Fibrilation	15
Heart Failure	34
Chronic Obstructive Pulmonary Disease	17
Diabetes	49
Dementia	26
Cancer	12

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2021 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

doctor visit	46
hospital care	89
inpatient care	89
ultrasound (sonogram)	39
vascular procedures	39

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	78
Female	94

**Ethnicity**
Non-Hispanic White	108
Black	49
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	68
From 75 to 84	57
85 and over	23
Less than 65	24

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	73
Ischemic Heart Disease	44
Depression	35
Chronic Kidney Disease	56
Asthma	0
Osteoperosis	13
Atrial Fibrilation	26
Heart Failure	32
Chronic Obstructive Pulmonary Disease	13
Diabetes	41
Dementia	36
Cancer	15

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

hospital care	93
inpatient care	93

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	50
Female	55

**Ethnicity**
Non-Hispanic White	67
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	38
From 75 to 84	32
85 and over	14
Less than 65	21

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	44
Depression	44
Chronic Kidney Disease	34
Asthma	12
Osteoperosis	16
Atrial Fibrilation	39
Heart Failure	31
Chronic Obstructive Pulmonary Disease	23
Diabetes	41
Dementia	33
Cancer	19

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC during 2023 were hospital care and inpatient care.

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

hospital care	23
inpatient care	23

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Male	18
Female	17

**Ethnicity**
Non-Hispanic White	23
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	11
From 75 to 84	11
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD in 2023

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	49
Depression	34
Chronic Kidney Disease	46
Asthma	0
Osteoperosis	0
Atrial Fibrilation	40
Heart Failure	46
Chronic Obstructive Pulmonary Disease	31
Diabetes	37
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Volume of procedures performed by Dr. Carmelo Graffagnino, MD for Medicare patients.

The highest averages for the top procedures that Dr. Carmelo Graffagnino, MD treated as a vascular neurologist in Durham, NC were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

doctor visit	187
hospital care	270
inpatient care	269
outpatient care	12
ultrasound (sonogram)	59
vascular procedures	59

Average Medicare Patient Data From 2012 - 2023

Information about Medicare patients treated by Dr. Carmelo Graffagnino, MD.

**Gender**
Female	144
Male	133

**Ethnicity**
Black / African American	63
Asian / Pacific Islander	0
Non-Hispanic White	183
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
85 and over	36
75 to 84	82
Less than 65	50
65 to 74	106

Average of Total of Conditions of Medicare patients treated by Dr. Carmelo Graffagnino, MD From 2012 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Carmelo Graffagnino, MD treated were high cholesterol, hypertension, stroke and ischemic heart disease.

Hypertension	68
High Cholesterol	68
Stroke	65
Ischemic Heart Disease	42
Depression	34
Chronic Kidney Disease	40
Asthma	8
Osteoporosis	7
Heart Failure	30
Chronic Obstructive Pulmonary Disease	18
Diabetes	37
Atrial Fibrillation	22
Dementia	21
Cancer	11

Education & Training

Dr. Carmelo Graffagnino, MD graduated from The University of Western Ontario, Schulich School of Medicine & Dentistry in 1985. He completed residency at The University of Western Ontario Affiliated Hospitals. He is certified by the American Board of Psychiatry/Neurology, Vascular Neurology and has a state license in North Carolina.

Medical School: The University of Western Ontario, Schulich School of Medicine & Dentistry (1985)

Residency: The University of Western Ontario Affiliated Hospitals (1988)

Board Certification: American Board of Psychiatry/Neurology, Vascular Neurology

Licensed In: North Carolina

Affiliations & Hospitals

Dr. Carmelo Graffagnino, MD is associated with these hospitals and organizations:

Duke Health

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Carmelo Graffagnino, MD appears to accept the following insurance providers: MedCost, Aetna Traditional Choice, Aetna Medicare PPO, BlueCross BlueShield of North Carolina, CIGNA Open Access Plus, WellCare, Medicare Part B, AmeriHealth, Medicare Advantage, AARP, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare HMO, Aetna, Aetna Workers' Compensation, TRICARE Prime, TRICARE Prime Remote, United Healthcare, Aetna Open Choice PPO, Medicare, Medicaid, Humana, Cigna, TRICARE, Alliance Health, Harvard Pilgrim Health Care, Aetna Managed Choice POS, Gateway Health Alliance, Aetna HMO, *Duke HomeCare and Hospice does not participate in the plan., Duke Employee Plans, Blue Options (123, PPO, HSA), *Duke HomeCare and Hospice and mental health providers do not participate with the plan., Aetna Quality Point of Service (QPOS), Aetna Choice POS, Aetna Choice POS II, Aetna Medicare Value Plan (HMO), Blue Advantage (*Available in select counties only), Duke Basic, Trillium, Ambetter, Experience Health, Aetna Select HMO, Aetna PCP Coordinated POS Plan, Blue Select, Blue Medicare (HMO, PPO)*, Aetna Limited Benefit Insurance PPO, Healthy Blue, Aetna Health Network Only, Aetna Health Network Option, All Savers Fully Insured, Blue Value (*Duke Health Lake Norman and Kernodle Clinics only), First Medicare Direct, Carolina Complete Health, Duke Advantage, Healthgram, TRICARE Select, Partners, All Savers Alternate Funding, Aetna Medicare Assure Plan (HMO D-SNP), Duke USA, Aetna/CVS Health, Vaya Health, Aetna Elect Choice HMO, Aetna Open Access Elect Choice, Aetna Voluntary Indemnity Group Plan, Duke Select, Duke Options, Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice, NC State Employees Health Plan, Ambetter of North Carolina and United Medical Resources (UMR).

Insurance Accepted by Provider includes:

According to our sources, Dr. Carmelo Graffagnino, MD accepts the following insurance providers:

MedCost

Aetna Traditional Choice

Aetna Medicare PPO

BlueCross BlueShield of North Carolina

CIGNA Open Access Plus

WellCare

Medicare Part B

AmeriHealth

Medicare Advantage

AARP

CIGNA Open Access

United Healthcare PPO

United Healthcare POS

United Healthcare HMO

Aetna

Aetna Workers' Compensation

TRICARE Prime

TRICARE Prime Remote

United Healthcare

Aetna Open Choice PPO

Medicare

Medicaid

Humana

Cigna

TRICARE

Alliance Health

Harvard Pilgrim Health Care

Aetna Managed Choice POS

Gateway Health Alliance

Aetna HMO

*Duke HomeCare and Hospice does not participate in the plan.

Duke Employee Plans

Blue Options (123, PPO, HSA)

*Duke HomeCare and Hospice and mental health providers do not participate with the plan.

Aetna Quality Point of Service (QPOS)

Aetna Choice POS, Aetna Choice POS II

Aetna Medicare Value Plan (HMO)

Blue Advantage (*Available in select counties only)

Duke Basic

Trillium

Ambetter

Experience Health

Aetna Select HMO

Aetna PCP Coordinated POS Plan

Blue Select

Blue Medicare (HMO, PPO)*

Aetna Limited Benefit Insurance PPO

Healthy Blue

Aetna Health Network Only, Aetna Health Network Option

All Savers Fully Insured

Blue Value (*Duke Health Lake Norman and Kernodle Clinics only)

First Medicare Direct

Carolina Complete Health

Duke Advantage

Healthgram

TRICARE Select

Partners

All Savers Alternate Funding

Aetna Medicare Assure Plan (HMO D-SNP)

Duke USA

Aetna/CVS Health

Vaya Health

Aetna Elect Choice HMO, Aetna Open Access Elect Choice

Aetna Voluntary Indemnity Group Plan

Duke Select

Duke Options

Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice

NC State Employees Health Plan

Ambetter of North Carolina

United Medical Resources (UMR)

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General Payments

These charts describe general payments received by Dr. Carmelo Graffagnino, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AstraZeneca Pharmaceuticals LP	$14,646 BRILINTA $8,590	$6,056
Daiichi Sankyo Inc.	$11,871 DS1040 $9,208	Effient $974	$1,689
Boehringer Ingelheim Pharmaceuticals, Inc.	$7,832 Pradaxa $1,122	$6,710
Medtronic Vascular, Inc.	$1,985 Reveal LINQ $679	Cardiac Diagnostics and Monitoring $159	Thrombectomy $106	$1,041
PORTOLA PHARMACEUTICALS, INC.	$1,468 ANDEXXA $1,468
Other	$3,347 AMPYRA $917	ABT 494 $693	Neurovascular Stents $341	Natilus BrainPulse 1000 (formerly Natilus NeuroWave) $300	CLEVIPREX $265	Other $832

**Types of Payments**
Consulting Fee	$18,535
Travel and Lodging	$15,946
Food and Beverage	$5,026
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$1,250
Honoraria	$300
Other	$92

Research Payments

Dr. Carmelo Graffagnino, MD has received 148 research payments totaling $274,367.

Biography

Dr. Carmelo Graffagnino's medical specialty is vascular neurology. Dr. Graffagnino obtained his medical school training at The University of Western Ontario, Schulich School of Medicine & Dentistry and performed his residency at a hospital affiliated with The University of Western Ontario. His clinical interests include brain aneurysm, subarachnoid hemorrhage, and carotid artery disease. He usually is in-network for Blue California, CIGNA Plans, and TRICARE, as well as other insurance carriers. Dr. Graffagnino (or staff) is conversant in Spanish and Italian. He is affiliated with Duke Health.