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DR. JUSTIN JOHN RAY MD
NPI 1437506607
Orthopaedic Surgery in Raleigh, NC

Active since May 18, 2016PECOS Enrolled
95.35/100
CMS Quality Rating
3001 EDWARDS MILL RD STE 200, RALEIGH, NC 27612(919) 781-5600(919) 863-6821 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2023, May 10, 2023, May 18, 2016 (3 updates tracked since 2016).

About Dr. Justin John Ray Md NPPES

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

DR. JUSTIN JOHN RAY MD (NPI 1437506607) is an individual orthopaedic surgery provider in Raleigh, North Carolina, licensed in North Carolina (2022-00859) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Brody School Of Medicine At East Carolina University (2016).

NPPES Registry Identity

NPI1437506607
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JUSTIN JOHN RAYCredential: MD
Location Address3001 EDWARDS MILL RD STE 200Raleigh, NC 27612-5243
Mailing Address3001 Edwards Mill Rd # 200Raleigh, NC 27612-5243 · (919) 863-6856
Phone(919) 781-5600
Fax(919) 863-6821
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2016
Enumeration DateMay 18, 2016
Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1437506607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NC · 2022-00859
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3001 EDWARDS MILL RD STE 200, Raleigh, NC 27612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin John Ray Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628369204
PECOS Enrollment IDI20220712001221
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Ray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Raleigh Orthopaedic Clinic PA
Same address
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
Raleigh, NC 27612
  • Reassigned Medicare billing, North Carolina enrollment
  • 114 clinicians in this Medicare group
NPI 1235137563 (919) 781-5600
Carolinas Medical Center
110 mi
Obstetrics & Gynecology
200 MEDICAL PARK DR, STE 250
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1467790055 (704) 403-6350

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

Areas of Expertise CMS Part B claims 9

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
375 services186 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
245 services134 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
133 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 patients
X-ray of ankle, 2 views 73600
An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.
45 services31 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
34 services26 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
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.

SHAWN RYAN MOODY DPT
Physical Therapist
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Wake County (919) 781-4060
LARA ASHLEY LEE
Occupational Therapist
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Wake County (919) 781-4060
RYAN PATRICK MCLYNN MD
Orthopaedic Surgery
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Wake County (919) 781-5600
JOSIE D PRABHAKAR PA-C
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Wake County (919) 781-5600
BRIANNA ELZABETH MAGLIO PA-C
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Wake County (919) 781-5600
LINDSAY A CARNES PA-C
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Wake County (919) 781-5600
KRISTINA KOHUTH PA-C
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Wake County (919) 781-5600
DYLAN JOSEPH KOWALEWSKI PA
Physician Assistant
3001 EDWARDS MILL RD STE 200
RALEIGH, NC 27612
Wake County (919) 781-5600

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 Justin Ray's NPI number?

The NPI number for Justin Ray is 1437506607. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Justin Ray located?

Justin Ray practices at 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612. The listed phone number is (919) 781-5600.

What is Justin Ray's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Justin Ray enrolled in Medicare?

Yes. Justin Ray is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Ray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Ray reassigns Medicare benefits to 2 organizations: Raleigh Orthopaedic Clinic PA (Raleigh, NC) and Carolinas Medical Center (Concord, NC). Each 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 Justin Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Ray accept?

Health plans from UnitedHealthcare list Justin Ray 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 Justin Ray affiliated with any hospitals?

According to CMS data, Justin Ray is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Justin Ray was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.