COURTNEY ROSE RAY PA
NPI 1194224949
Physician Assistant in Tulsa, OK

Active since February 07, 2018PECOS EnrolledAccepts Medicare Assignment
54.84/100
CMS Quality Rating
4812 S 109TH EAST AVE, TULSA, OK 74146(918) 392-1400 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2022, Dec 27, 2018 (2 updates tracked since 2018).

About Courtney Rose Ray Pa NPPES

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

COURTNEY ROSE RAY PA (NPI 1194224949) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (4774) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194224949
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY ROSE RAYCredential: PA
Location Address4812 S 109TH EAST AVETulsa, OK 74146-5826
Mailing Address4802 S 109th East AveTulsa, OK 74146-5822 · (918) 392-1400 · Fax (918) 392-1590
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 7, 2018
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
NPI 1194224949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OK · 4774 Licensed in MO · 2017004542
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4812 S 109TH EAST AVE, Tulsa, OK 74146

Other Identifiers 1

Medicaid220051883MO

Accepted Insurance

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

Courtney Rose Ray Pa 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 ID4587924519
PECOS Enrollment IDI20220520001427
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 15

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
197 services52 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.
115 services115 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.
81 services81 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
67 services58 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.
56 services56 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
53 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74146 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

54.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.43
Promoting Interoperability52
Improvement Activities40
Cost40.05

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
4812 S 109TH EAST AVE, SUITE 100
TULSA, OK 74146
Internal Medicine (Rheumatology)
4812 S 109TH EAST AVE, STE. 200
TULSA, OK 74146
Internal Medicine (Rheumatology)
4812 S 109TH EAST AVE, STE. 200
TULSA, OK 74146
Nurse Practitioner (Acute Care)
4812 S 109TH EAST AVE
TULSA, OK 74146
Orthopaedic Surgery
4812 S 109TH EAST AVE, SUITE 300
TULSA, OK 74146
Physical Medicine & Rehabilitation (Pain Medicine)
4812 S 109TH EAST AVE, SUITE 300
TULSA, OK 74146
Orthopaedic Surgery
4812 S 109TH EAST AVE, STE. 300
TULSA, OK 74146
Orthopaedic Surgery
4812 S 109TH EAST AVE, SUITE 300
TULSA, OK 74146

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 Courtney Ray's NPI number?

The NPI number for Courtney Ray is 1194224949. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Courtney Ray located?

Courtney Ray practices at 4812 S 109th East Ave, Tulsa, OK 74146. The listed phone number is (918) 392-1400.

What is Courtney Ray's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Ray enrolled in Medicare?

Yes. Courtney Ray 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.

What insurance does Courtney Ray accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Courtney Ray 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.

When was this NPI record last updated?

The NPPES record for Courtney Ray was last updated on September 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.