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GARY G GRAY O.D.
NPI 1275603672
Optometrist - Corneal and Contact Management in Decatur, IL

Active since November 09, 2006PECOS Enrolled
2490 N WATER ST, SUITE 16, DECATUR, IL 62526(217) 875-4646(217) 875-2870 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary G Gray O.d. NPPES

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

GARY G GRAY O.D. (NPI 1275603672) is an individual corneal and contact management provider in Decatur, Illinois and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1979).

NPPES Registry Identity

NPI1275603672
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameGARY G GRAYCredential: O.D.
Location Address2490 N WATER ST, SUITE 16Decatur, IL 62526-4251
Mailing Address2490 N Water St, Suite 16Decatur, IL 62526-4251 · (217) 875-4646 · Fax (217) 875-2870
Phone(217) 875-4646
Fax(217) 875-2870
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1979
Enumeration DateNovember 9, 2006
Last NPPES UpdateNovember 20, 2007
✔ NPI 1275603672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X
2490 N WATER ST, Decatur, IL 62526
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Other Identifiers 6

Other4056086TN · Bcbcs
Other6259GIL · United Healthcare
Other5884008IL · Bcbs
Medicare UPINT37689
Medicare PIN671900IL
Other0159620001IL · Dmerc Administar

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary G Gray O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981862562
PECOS Enrollment IDI20120229000162
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 3

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
295 services294 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.
40 services27 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 5

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

JOHN RICHARD HERINGTON MSW
Social Worker (Clinical)
2490 N WATER ST, SUITE 1
DECATUR, IL 62526
Macon County (217) 233-1327
MR. THOMAS KELLY STEWART L,C,S,W.
Social Worker (Clinical)
2490 N WATER ST, SUITE ONE
DECATUR, IL 62526
Macon County (217) 233-1327
DR. JERRY R HARRISON DMD
Dentist (General Practice)
2490 N WATER ST, SUITE 11
DECATUR, IL 62526
Macon County (217) 875-1677
JOHN HERINGTON, PC
Social Worker (Clinical)
2490 N WATER ST, SUITE 1
DECATUR, IL 62526
Macon County (217) 233-1327
CENTER FOR NEUROBEHAVIORAL DISORDERS, LLC
Clinical Neuropsychologist
2490 N WATER ST, SUITE 9
DECATUR, IL 62526
Macon County (217) 877-1100

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 Gary Gray's NPI number?

The NPI number for Gary Gray is 1275603672. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Gary Gray located?

Gary Gray practices at 2490 N Water St Suite 16, Decatur, IL 62526. The listed phone number is (217) 875-4646.

What is Gary Gray's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Gary Gray enrolled in Medicare?

Yes. Gary Gray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Gray was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.