GRAY FACIAL PLASTIC SURGERY
NPI 1104638451
Otolaryngology - Facial Plastic Surgery in Boise, ID
About Gray Facial Plastic Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAY FACIAL PLASTIC SURGERY (NPI 1104638451) is a healthcare organization registered as a facial plastic surgery in Boise, Idaho and active in the NPI registry since January 2025. The organization lists Alan James Gray, Facial Plastic Surgeon, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gray Facial Plastic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gray Facial Plastic Surgery, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gray Facial Plastic Surgery's NPI number?
The NPI number for Gray Facial Plastic Surgery is 1104638451. It was assigned to this organization in the NPPES registry on January 23, 2025.
Where is Gray Facial Plastic Surgery located?
Gray Facial Plastic Surgery is located at 2593 N Bird St, Boise, ID 83704. The listed phone number is (208) 631-6990.
What is Gray Facial Plastic Surgery's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.
Is Gray Facial Plastic Surgery enrolled in Medicare?
Yes. Gray Facial Plastic Surgery is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gray Facial Plastic Surgery?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Gray Facial Plastic Surgery. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Gray Facial Plastic Surgery accept?
Health plans from Select Health list Gray Facial Plastic Surgery 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.
When was this NPI record last updated?
The NPPES record for Gray Facial Plastic Surgery was last updated on February 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Gray Facial Plastic Surgery · NPI 1104638451
Facial Plastic Surgery organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since January 23, 2025.
## Identity
- **NPI:** 1104638451 (Entity type: Organization)
- **Enumerated:** January 23, 2025
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **Organization subpart:** No
- **Authorized official:** Alan Gray, FACIAL PLASTIC SURGEON
## Practice location
- **Address:** 2593 N BIRD ST, Boise, ID 83704-5649
- **Phone:** (208) 631-6990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104638451) · Data from the CMS NPPES public registry.