KATLIN ALICIA GRAY PA
NPI 1215636949
Physician Assistant in Saint Louis, MO

Active since March 02, 2023PECOS EnrolledAccepts Medicare Assignment
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141(314) 251-6440 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2023, May 11, 2023, Mar 2, 2023 (3 updates tracked since 2023).

About Katlin Alicia Gray Pa NPPES

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

KATLIN ALICIA GRAY PA (NPI 1215636949) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2023032172) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215636949
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATLIN ALICIA GRAYCredential: PA
Location Address621 S NEW BALLAS RD STE 560ASaint Louis, MO 63141-8261
Mailing Address621 S New Ballas Rd Ste 560aSaint Louis, MO 63141-8261 · (314) 251-6440
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 2, 2023
Last NPPES UpdateAugust 16, 20233 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1215636949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2023032172
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.
621 S NEW BALLAS RD STE 560A, Saint Louis, MO 63141

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

Katlin Alicia Gray 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 ID3173985272
PECOS Enrollment IDI20230821002400
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.

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 20

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

Nurse Practitioner (Family)
621 S NEW BALLAS RD STE 560A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD STE 560A
SAINT LOUIS, MO 63141
Surgery
621 S NEW BALLAS RD STE 560A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD STE 560A
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
621 S NEW BALLAS RD STE 560A
SAINT LOUIS, MO 63141
Surgery
621 S NEW BALLAS RD STE 560A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD STE 560A
SAINT LOUIS, MO 63141
Surgery (Trauma Surgery)
621 S NEW BALLAS RD STE 560A
SAINT LOUIS, MO 63141

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 Katlin Gray's NPI number?

The NPI number for Katlin Gray is 1215636949. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Katlin Gray located?

Katlin Gray practices at 621 S New Ballas Rd Ste 560A, Saint Louis, MO 63141. The listed phone number is (314) 251-6440.

What is Katlin Gray's specialty?

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

Is Katlin Gray enrolled in Medicare?

Yes. Katlin 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.

What insurance does Katlin Gray accept?

Health plans from Medica list Katlin Gray 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.

Is Katlin Gray affiliated with any hospitals?

According to CMS data, Katlin Gray is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Katlin Gray was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.