TYLER DAVID GRAY PA
NPI 1083231369
Physician Assistant - Surgical in Saratoga Springs, NY

Q: What is Tyler Gray's NPI number?

The NPI number for Tyler Gray is 1083231369. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Q: What is Tyler Gray's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Gray was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 02, 2020PECOS EnrolledAccepts Medicare Assignment

5 CARE LN, SARATOGA SPRINGS, NY 12866(518) 489-2663 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, Jul 2, 2020 (2 updates tracked since 2020).

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About Tyler David Gray Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER DAVID GRAY PA (NPI 1083231369) is an individual surgical provider in Saratoga Springs, New York, licensed in New York (025133) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1083231369

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameTYLER DAVID GRAYCredential: PA

Location Address5 CARE LNSaratoga Springs, NY 12866-8623

Mailing Address121 Everett Rd Ste 100Albany, NY 12205-1447 · (518) 453-9088 · Fax (518) 689-3817

Phone(518) 489-2663

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 2, 2020

Last NPPES UpdateMay 28, 20252 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1083231369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 025133

5 CARE LN, Saratoga Springs, NY 12866

Open in Google Maps ↗

Secondary Practice Location 1

Location 1121 Everett Rd Ste 100Albany, NY 12205-1447 · Phone (518) 453-9088 ext. 3207 · Fax (518) 689-3817

Other Identifiers 1

Medicaid06141386NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler David Gray Pa 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.

PECOS PAC ID3375968233

PECOS Enrollment IDI20200810001117

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

142 services103 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

75 services66 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

28 services28 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

X-ray of middle and lower spine, 2 views 72080

An X-ray of the middle and lower spine, or 2-view lumbar spine X-ray, involves capturing images of your back. This helps detect issues like fractures, infections, or other abnormalities. It's painless and quick, taking only a few minutes.

20 services16 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

19 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330057

Location315 South Manning BoulevardAlbany, NY 12208 · Albany County

Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330222

Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN E ROSAS MD

Orthopaedic Surgery