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DR. CYNTHIA DEE GRAY M.D.
NPI 1104988336
Specialist in Vancouver, WA

Active since December 14, 2006Opted out of Medicare · through Jan 1, 2028
2101 NE 139TH ST STE 285, VANCOUVER, WA 98686(360) 892-0096(360) 892-1962 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cynthia Dee Gray M.d. NPPES

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

DR. CYNTHIA DEE GRAY M.D. (NPI 1104988336) is an individual specialist in Vancouver, Washington, licensed in Washington (MD00028792) and active in the NPI registry since December 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer, is affiliated with Legacy Salmon Creek Medical Center, and is a graduate of Loma Linda University School Of Medicine (1984).

NPPES Registry Identity

NPI1104988336
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. CYNTHIA DEE GRAYCredential: M.D.
Location Address2101 NE 139TH ST STE 285Vancouver, WA 98686-2326
Mailing Address3407 N Pioneer Canyon DrRidgefield, WA 98642-8036 · (360) 869-2914
Phone(360) 892-0096
Fax(360) 892-1962
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1984
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
✔ NPI 1104988336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD00028792
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2101 NE 139TH ST STE 285, Vancouver, WA 98686
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Cynthia Dee Gray M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims

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.
23 services12 patients

Hospital Affiliations CMS Care Compare

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

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

CYNTHIA D GRAY MD PC
Clinic/Center (Medical Specialty)
2101 NE 139TH ST STE 285
VANCOUVER, WA 98686
Clark County (360) 892-0096
SARAH DALTON BLOOM ARNP
Nurse Practitioner (Family)
2101 NE 139TH ST STE 285
VANCOUVER, WA 98686
Clark County (360) 839-4532

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 Cynthia Gray's NPI number?

The NPI number for Cynthia Gray is 1104988336. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Cynthia Gray located?

Cynthia Gray practices at 2101 NE 139th St Ste 285, Vancouver, WA 98686. The listed phone number is (360) 892-0096.

What is Cynthia Gray's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Cynthia Gray enrolled in Medicare?

No. Cynthia Gray has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Cynthia Gray accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Cynthia 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 Cynthia Gray affiliated with any hospitals?

According to CMS data, Cynthia Gray is affiliated with Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Cynthia Gray was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.