JAMES T GRAY DDS
NPI 1164659918
Dentist - General Practice in East Peoria, IL

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
2404 E WASHINGTON ST, EAST PEORIA, IL 61611(309) 699-5521(309) 699-7050 Get Directions Write a Review

NPPES record last updated: June 19, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James T Gray Dds NPPES

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

JAMES T GRAY DDS (NPI 1164659918) is an individual general practice provider in East Peoria, Illinois, licensed in Illinois (019-021753) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa College Of Dentistry (1989).

NPPES Registry Identity

NPI1164659918
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJAMES T GRAYCredential: DDS
Location Address2404 E WASHINGTON STEast Peoria, IL 61611-1859
Mailing Address2404 E Washington StEast Peoria, IL 61611-1859 · (309) 699-5521 · Fax (309) 699-7050
Fax(309) 699-7050
Sole ProprietorNo
Medical School CMSUniversity Of Iowa College Of DentistryGraduated 1989
Enumeration DateJune 19, 2009
NPI 1164659918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019-021753
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2404 E WASHINGTON ST, East Peoria, IL 61611

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

James T Gray Dds 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 ID8820237928
PECOS Enrollment IDI20130621000261
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services54 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
72 services52 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services27 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
2404 E WASHINGTON ST
EAST PEORIA, IL 61611
Dentist (General Practice)
2404 E WASHINGTON ST
EAST PEORIA, IL 61611
Dentist (General Practice)
2404 E WASHINGTON ST
EAST PEORIA, IL 61611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164659918, enumerated as an "individual" on June 19, 2009.

The provider is located at 2404 E WASHINGTON ST EAST PEORIA, IL 61611 and the phone number is (309) 699-5521.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.