DAVID GRAY MD
NPI 1053312256
Family Medicine in Burnsville, MN
About David Gray Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID GRAY MD (NPI 1053312256) is an individual family medicine provider in Burnsville, Minnesota, licensed in Wisconsin (40304-020) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of Minnesota Medical School (1997).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David Gray Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show David Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 18
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURNSVILLE, MN 55337
BURNSVILLE, MN 55337
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Gray's NPI number?
The NPI number for David Gray is 1053312256. It was assigned to this individual provider in the NPPES registry on August 10, 2005.
Where is David Gray located?
David Gray practices at 14000 Nicollet Ave Ste 100, Burnsville, MN 55337. The listed phone number is (952) 428-0200.
What is David Gray's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Gray enrolled in Medicare?
Yes. David Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for David Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Gray reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Gray accept?
Health plans from HealthPartners and Medica list David Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is David Gray affiliated with any hospitals?
According to CMS data, David Gray is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for David Gray was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# David Gray, MD · NPI 1053312256
Family Medicine physician in Burnsville, Minnesota. Individual provider, active in the CMS NPPES registry since August 10, 2005.
## Identity
- **NPI:** 1053312256 (Entity type: Individual)
- **Enumerated:** August 10, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 40304-020 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 14000 NICOLLET AVE STE 100, Burnsville, MN 55337-5793
- **Phone:** (952) 428-0200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1997
## Record status
- **NPPES last updated:** November 18, 2011
- **Other identifiers:** Medicaid 32628600 (WI); Medicare UPIN H12814 (WI); Medicare PIN 080016983 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1053312256) · Data from the CMS NPPES public registry.