DR. ROBERT E WRAY DO
NPI 1487648945
Family Medicine - Geriatric Medicine in Jetmore, KS

Q: What is Robert Wray's NPI number?

The NPI number for Robert Wray is 1487648945. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Q: What is Robert Wray's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Robert Wray was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 09, 2005PECOS Enrolled

810 W BRAMLEY ST, JETMORE, KS 67854(620) 357-8354(620) 357-6460 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Robert E Wray Do NPPES

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

DR. ROBERT E WRAY DO (NPI 1487648945) is an individual geriatric medicine provider in Jetmore, Kansas, licensed in Kansas (05-22793) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kinsley.

NPPES Registry Identity

NPI1487648945

Entity TypeIndividualMale

Primary Taxonomy207QG0300X

Provider Legal NameDR. ROBERT E WRAYCredential: DO

Location Address810 W BRAMLEY STJetmore, KS 67854-9320

Mailing Address711 Marsh AveKinsley, KS 67547-1129 · (620) 659-2890 · Fax (620) 659-2897

Phone(620) 357-8354

Fax(620) 357-6460

Sole ProprietorYes

Enumeration DateSeptember 9, 2005

Last NPPES UpdateSeptember 22, 2022

NPPES CertifiedSeptember 22, 2022

✔ NPI 1487648945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in KS · 05-22793

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

810 W BRAMLEY ST, Jetmore, KS 67854

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Secondary Practice Location 1

Location 1711 Marsh AveKinsley, KS 67547-1129 · Phone (620) 659-2890 · Fax (620) 659-2897

Other Identifiers 1

Medicaid100230630EKS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert E Wray Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Robert Wray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hodgeman County Health Center

Same address

Clinic/Center

810 W BRAMLEY ST
Jetmore, KS 67854

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1821098252 (Kansas)
19 clinicians in this Medicare group

NPI 1790777324 (620) 357-8354

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67854 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers11 claims660 services$0.76 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers12 claims12 services$25.87 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

ALEJANDRO DAVID VANDO PEDROSA MD

Family Medicine