DENNIS S. GRAY, M.D., PSC
NPI 1194960682
Family Medicine in Louisville, KY

Q: What is Dennis S. Gray, M.D., Psc's NPI number?

The NPI number for Dennis S. Gray, M.D., Psc is 1194960682. It was assigned to this organization in the NPPES registry on December 11, 2008.

Q: What is Dennis S. Gray, M.D., Psc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 11, 2008CLIA 18D0907834 · Waiver

1169 EASTERN PKWY, SUITE 1111, LOUISVILLE, KY 40217(502) 456-4100(502) 459-8454 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dennis S. Gray, M.d., Psc NPPES

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

DENNIS S. GRAY, M.D., PSC (NPI 1194960682) is a healthcare organization registered as a family medicine in Louisville, Kentucky and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Dennis S. Gray, Owner, as its authorized official.

NPPES Registry Identity

NPI1194960682

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDENNIS S. GRAY, M.D., PSC

Location Address1169 EASTERN PKWY, SUITE 1111Louisville, KY 40217-1417

Mailing Address1169 Eastern Pkwy, Suite 1111Louisville, KY 40217-1417 · (502) 456-4100 · Fax (502) 459-8454

Phone(502) 456-4100

Fax(502) 459-8454

Organization SubpartNo

Authorized OfficialDennis S. GrayOwner · (502) 456-4100

Enumeration DateDecember 11, 2008

Last NPPES UpdateJune 10, 2020

NPPES CertifiedJune 10, 2020

✔ NPI 1194960682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1169 EASTERN PKWY, Louisville, KY 40217

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Other Identifiers 6

Medicaid7100065390KY

Other3633465001KY · Passport Advantage

Other50021729KY · Passport

Other58216840Aetna

OtherDO3964KY · Rr Medicare

Other000000600890Bc Bs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dennis S. Gray, M.d., Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dennis S. Gray, M.D., Psc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dennis Gray, M.D.

Family Practice

NPI 1942202288

1169 EASTERN PKWY STE 1111
Louisville, KY 40217

(502) 456-4100

✔ PECOS✔ Accepts MedicareSame address

Toni Raybon, A.R.N.P.

Nurse Practitioner

NPI 1013241843

1505 S 7TH ST
Louisville, KY 40208

(502) 637-1005

✔ PECOS✔ Accepts Medicare2.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0907834

Dennis S Gray, MD, Psc · Louisville, KY

Active · expires Nov 11, 2026

CLIA Number18D0907834

Laboratory TypePhysician Office

Certificate Effective DateNovember 12, 2024

Certificate Expiration DateNovember 11, 2026

Laboratory DirectorDennis S. Gray

Laboratory Phone(502) 456-4100

Laboratory LocationDennis S Gray, MD, Psc1169 Eastern Parkway Suite 1111, Louisville, KY 40217

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Dennis S. Gray, M.D., Psc's NPI number?

The NPI number for Dennis S. Gray, M.D., Psc is 1194960682. It was assigned to this organization in the NPPES registry on December 11, 2008.

Where is Dennis S. Gray, M.D., Psc located?

Dennis S. Gray, M.D., Psc is located at 1169 Eastern Pkwy Suite 1111, Louisville, KY 40217. The listed phone number is (502) 456-4100.

What is Dennis S. Gray, M.D., Psc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dennis S. Gray, M.D., Psc enrolled in Medicare?

Yes. Dennis S. Gray, M.D., Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dennis S. Gray, M.D., Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dennis S. Gray, M.D., Psc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dennis S. Gray, M.D., Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0907834) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dennis S. Gray, M.D., Psc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Dennis S. Gray, M.D., Psc 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 Dennis S. Gray, M.D., Psc was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.