1. Home
  2. Directory
  3. Illinois
  4. East Peoria
  5. Dentist
  6. NPI Profile

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: August 09, 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
Phone(309) 699-5521
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
Open in Google Maps ↗

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 2

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.
177 services93 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
36 services36 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.

VANI M BALDWIN DDS
Dentist (General Practice)
2404 E WASHINGTON ST
EAST PEORIA, IL 61611
Tazewell County (309) 699-5521
DR. VIKTOR MAISTER DMD
Dentist (General Practice)
2404 E WASHINGTON ST
EAST PEORIA, IL 61611
Tazewell County (309) 699-5521
JOSHUA A HUDSON DMD
Dentist (General Practice)
2404 E WASHINGTON ST
EAST PEORIA, IL 61611
Tazewell County (309) 699-5521

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 James Gray's NPI number?

The NPI number for James Gray is 1164659918. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is James Gray located?

James Gray practices at 2404 E Washington St, East Peoria, IL 61611. The listed phone number is (309) 699-5521.

What is James Gray's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is James Gray enrolled in Medicare?

Yes. James Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for James Gray was last updated on June 19, 2009. 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.