DR. ADAM C GRAY MD NPI 1245202654

Family Medicine in Melbourne, AR

NPI 1245202654 Individual Male Years of Experience 24 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About ADAM GRAY

Adam Gray is a primary care provider established in Melbourne, Arkansas and his medical specialization is family medicine with more than 24 years of experience. He graduated from University Of Arkansas College Of Medicine in 1998. The NPI number of Adam Gray is 1245202654 and was assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X with license number E2487 (AR). The provider is registered as an individual and his NPI record was last updated 6 years ago.

A primary care provider (PCP) like Dr. Adam C Gray Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Adam Gray is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Adam Gray is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Baxter Regional Medical Center, Izard County Medical Center, Llc, Fulton County Hospital, Stone County Medical Center and White River Medical Center.

NPI

1245202654

Provider NameDR. ADAM C GRAY MD
Provider Location Address1019 E MAIN MELBOURNE, AR 72556
Provider Mailing AddressPO BOX 1130 MELBOURNE, AR 72556
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year1998
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-02-2006
Last Update Date01-13-2016


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.E2487
License StateAR
Taxonomy DescriptionFamily 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.

Business Address

DR. ADAM C GRAY MD
1019 E MAIN
MELBOURNE, AR
ZIP 72556
Phone: (870) 368-4729
Fax: (870) 368-4487

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Mailing Address

DR. ADAM C GRAY MD
PO BOX 1130
MELBOURNE, AR
ZIP 72556
Phone: (870) 368-4729
Fax: (870) 368-4487



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1850321167
PECOS Enrollment IDI20050816001207
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 996Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 831Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 266Urinalysis, manual test (HCPCS:81002)
  • 234Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 165Administration of influenza virus vaccine (HCPCS:G0008)
  • 159Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 108X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 86Administration of pneumococcal vaccine (HCPCS:G0009)
  • 59Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • 58Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 48Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 43Removal of impact ear wax, one ear (HCPCS:69210)
  • 42Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 40Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • 24Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 22X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 21Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • 19X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 14X-ray of foot, minimum of 3 views (HCPCS:73630)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Adam Gray is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BAXTER REGIONAL MEDICAL CENTER624 HOSPITAL DRIVE
MOUNTAIN HOME, AR 72653
(870) 508-1000Acute Care Hospitals40027
IZARD COUNTY MEDICAL CENTER, LLC61 GRASSE STREET
CALICO ROCK, AR 72519
(870) 297-2400Critical Access Hospitals41306
FULTON COUNTY HOSPITAL679 NORTH MAIN STREET
SALEM, AR 72576
(870) 895-2691Critical Access Hospitals41322
STONE COUNTY MEDICAL CENTER2106 EAST MAIN STREET
MOUNTAIN VIEW, AR 72560
(870) 269-4361Critical Access Hospitals41310
WHITE RIVER MEDICAL CENTER1710 HARRISON STREET
BATESVILLE, AR 72503
(870) 262-1200Acute Care Hospitals40119

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
H34313MEDICARE UPIN (02)AR
5L700MEDICARE ID-TYPE UNSPECIFIED (04)AR
143763001MEDICAID (05)AR

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.