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DR. DERRICK ANDRE GRAY M.D.
NPI 1609073022
Family Medicine in Springdale, AR

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
2422 N THOMPSON ST, SPRINGDALE, AR 72764(479) 750-6585(479) 750-6594 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derrick Andre Gray M.d. NPPES

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

DR. DERRICK ANDRE GRAY M.D. (NPI 1609073022) is an individual family medicine provider in Springdale, Arkansas, licensed in Arkansas (E6424) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1609073022
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DERRICK ANDRE GRAYCredential: M.D.
Location Address2422 N THOMPSON STSpringdale, AR 72764-1757
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Phone(479) 750-6585
Fax(479) 750-6594
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 29, 2007
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1609073022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E6424
Definition
Family 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.
2422 N THOMPSON ST, Springdale, AR 72764
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Secondary Practice Location 1

Location 11125 N College AveFayetteville, AR 72703-1908 · Phone (479) 521-8260 · Fax (479) 443-3903

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Derrick Andre Gray M.d. 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 ID1456482074
PECOS Enrollment IDI20100625000800
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
318 services137 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
106 services75 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
75 services74 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.
58 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services57 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72764 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$14.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$79.36 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 7

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

NORTHWEST ARKANSAS HOSPITALS LLC
Internal Medicine (Geriatric Medicine)
2422 N THOMPSON ST, SUITE 104
SPRINGDALE, AR 72764
Washington County (479) 757-4000
MISS MARIELIE HEIDI AGESILAS M.D.
Family Medicine
2422 N THOMPSON ST
SPRINGDALE, AR 72764
Washington County (479) 750-6585
ALAN PADILLA RAMOS MD
Family Medicine
2422 N THOMPSON ST
SPRINGDALE, AR 72764
Washington County (479) 750-6585
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Family Medicine
2422 N THOMPSON ST
SPRINGDALE, AR 72764
Washington County (479) 750-6585
KAYSHA THOMPSON LPTA
Physical Therapy Assistant
2422 N THOMPSON ST
SPRINGDALE, AR 72764
Washington County (479) 757-5010
MS. CECELIA HOPE FREDRICH APN, DNSC
Nurse Practitioner (Gerontology)
2422 N THOMPSON ST, SUITE A
SPRINGDALE, AR 72764
Washington County (479) 750-6566
SCOTT M VAN CAMP DPT
Physical Therapist
2422 N THOMPSON ST
SPRINGDALE, AR 72764
Washington County (479) 751-3043

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 Derrick Gray's NPI number?

The NPI number for Derrick Gray is 1609073022. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Derrick Gray located?

Derrick Gray practices at 2422 N Thompson St, Springdale, AR 72764. The listed phone number is (479) 750-6585.

What is Derrick Gray's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Derrick Gray enrolled in Medicare?

Yes. Derrick 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 Derrick Gray accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Derrick 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.

When was this NPI record last updated?

The NPPES record for Derrick Gray was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.