DR. SAMUEL GRAY D.P.M.
NPI 1184088486
Podiatrist - Foot & Ankle Surgery in Sterling, VA

Q: What is Samuel Gray's NPI number?

The NPI number for Samuel Gray is 1184088486. It was assigned to this individual provider in the NPPES registry on April 12, 2016. The provider is also known as Mr. Samuel Thomas Gay.

Q: What is Samuel Gray's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Gray was last updated on June 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment

46090 LAKE CENTER PLZ STE 204, STERLING, VA 20165(703) 539-2036(703) 563-2716 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Samuel Gray D.p.m. NPPES

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

DR. SAMUEL GRAY D.P.M. (NPI 1184088486) is an individual foot & ankle surgery provider in Sterling, Virginia, licensed in Virginia (0103301267) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and maintains a secondary practice location in Falls Church.

NPPES Registry Identity

NPI1184088486

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. SAMUEL GRAYCredential: D.P.M.

Location Address46090 LAKE CENTER PLZ STE 204Sterling, VA 20165-5878

Mailing Address7850 Newport Glen PassAnnandale, VA 22003-1561 · (917) 238-0909

Phone(703) 539-2036

Fax(703) 563-2716

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2016

Enumeration DateApril 12, 2016

Last NPPES UpdateJune 26, 2019

✔ NPI 1184088486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in VA · 0103301267

46090 LAKE CENTER PLZ STE 204, Sterling, VA 20165

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Other Names 1

Former Name (1)Mr. Samuel Thomas Gay

Secondary Practice Location 1

Location 13300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-4001

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

Dr. Samuel Gray D.p.m. 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 ID4688901069

PECOS Enrollment IDI20190807003264, I20210203002149

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 18

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.

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

351 services69 patients

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.

152 services67 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

97 services27 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

82 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

73 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

60 services23 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

40 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

36 services13 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.

33 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

31 services31 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

31 services26 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

30 services17 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

26 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

26 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

19 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

16 services16 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

15 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490043

Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County

Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490122

Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County

Emergency services

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Other Providers at the Same Location NPPES

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

STERLING FOOT AND ANKLE CENTER PLLC

Podiatrist (Foot & Ankle Surgery)

46090 LAKE CENTER PLZ STE 204
STERLING, VA 20165

Loudoun County (703) 539-2036

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 Samuel Gray's NPI number?

The NPI number for Samuel Gray is 1184088486. It was assigned to this individual provider in the NPPES registry on April 12, 2016. The provider is also known as Mr. Samuel Thomas Gay.

Where is Samuel Gray located?

Samuel Gray practices at 46090 Lake Center Plz Ste 204, Sterling, VA 20165. The listed phone number is (703) 539-2036.

What is Samuel Gray's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Samuel Gray enrolled in Medicare?

Yes. Samuel 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.

Is Samuel Gray affiliated with any hospitals?

According to CMS data, Samuel Gray is affiliated with Inova Loudoun Hospital, Inova Fairfax Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Gray was last updated on June 26, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.