MR. LEVI BENJAMIN GRAY PA
NPI 1427624253
Physician Assistant - Surgical in Chattanooga, TN

Active since June 02, 2021PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
2525 DESALES AVE, CHATTANOOGA, TN 37404(423) 667-5783(423) 495-6286 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, May 10, 2022, Jun 2, 2021 (3 updates tracked since 2021).

About Mr. Levi Benjamin Gray Pa NPPES

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

MR. LEVI BENJAMIN GRAY PA (NPI 1427624253) is an individual surgical provider in Chattanooga, Tennessee, licensed in Tennessee (4371) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1427624253
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. LEVI BENJAMIN GRAYCredential: PA
Location Address2525 DESALES AVEChattanooga, TN 37404-1161
Mailing Address1949 Gunbarrel Rd Ste 206Chattanooga, TN 37421-7133
Fax(423) 495-6286
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2021
Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1427624253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TN · 4371
Also ListedPhysician AssistantTaxonomy 363A00000X · License TC052 (KY)
2525 DESALES AVE, Chattanooga, TN 37404

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

Mr. Levi Benjamin 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 ID9032596432
PECOS Enrollment IDI20240618002407
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

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.

Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Penobscot Valley Hospital

Critical Access Hospitals · Lincoln, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201303
Location7 Transalpine Road, PO Box 368Lincoln, ME 04457 · Penobscot County
Emergency services

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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
2525 DESALES AVE
CHATTANOOGA, TN 37404
Radiology (Diagnostic Radiology)
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Anesthetist, Certified Registered
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Anesthetist, Certified Registered
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
2525 DESALES AVE
CHATTANOOGA, TN 37404
Clinical Exercise Physiologist
2525 DESALES AVE
CHATTANOOGA, TN 37404
Family Medicine
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Acute Care)
2525 DESALES AVE
CHATTANOOGA, TN 37404

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 Levi Gray's NPI number?

The NPI number for Levi Gray is 1427624253. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Levi Gray located?

Levi Gray practices at 2525 Desales Ave, Chattanooga, TN 37404. The listed phone number is (423) 667-5783.

What is Levi Gray's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Levi Gray enrolled in Medicare?

Yes. Levi 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 Levi Gray accept?

Health plans from Alliant Health Plans, Inc. list Levi 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 Levi Gray affiliated with any hospitals?

According to CMS data, Levi Gray is affiliated with Northern Light Eastern Maine Medical Center and Penobscot Valley Hospital.

When was this NPI record last updated?

The NPPES record for Levi Gray was last updated on August 10, 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.