MR. GRAY MATTHEW FENTON DO
NPI 1124109806
Family Medicine in Sunrise, FL
About Mr. Gray Matthew Fenton Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GRAY MATTHEW FENTON DO (NPI 1124109806) is an individual family medicine provider in Sunrise, Florida, licensed in Florida (OS7890) and active in the NPI registry since October 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Gray Matthew Fenton Do 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 October 1, 2016 through October 1, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33323 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 2
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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUNRISE, FL 33323
SUNRISE, FL 33323
SUNRISE, FL 33323
SUNRISE, FL 33323
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 Fenton's NPI number?
The NPI number for Gray Fenton is 1124109806. It was assigned to this individual provider in the NPPES registry on October 18, 2006.
Where is Gray Fenton located?
Gray Fenton practices at 12651 W Sunrise Blvd Suite 202, Sunrise, FL 33323. The listed phone number is (954) 838-7200.
What is Gray Fenton's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gray Fenton enrolled in Medicare?
No. Gray Fenton has opted out of Medicare through October 1, 2026. 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.
When was this NPI record last updated?
The NPPES record for Gray Fenton was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mr. Gray Matthew Fenton, DO · NPI 1124109806
Family Medicine physician in Sunrise, Florida. Individual provider, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1124109806 (Entity type: Individual)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS7890 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12651 W SUNRISE BLVD, SUITE 202, Sunrise, FL 33323-0906
- **Phone:** (954) 838-7200 · **Fax:** (954) 838-9192
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** November 19, 2008
- **Other identifiers:** Medicare UPIN G93587 (FL); Medicare ID-Type Unspecified 46644 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1124109806) · Data from the CMS NPPES public registry.