DR. DERRICK ANDRE GRAY M.D.
NPI 1609073022
Family Medicine in Springdale, AR
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
7Medicare enrollment records show Derrick Gray reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springdale, AR 72764
- Reassigned Medicare billing, Arkansas enrollment
- Also billed through NPI 1457320780 (Arkansas)
- 21 clinicians in this Medicare group
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
- 204 clinicians in this Medicare group
Van Buren, AR 72956
- Reassigned Medicare billing, Arkansas enrollment
- 61 clinicians in this Medicare group
Fort Smith, AR 72901
- Reassigned Medicare billing, Arkansas enrollment
- 50 clinicians in this Medicare group
Fort Smith, AR 72901
- Reassigned Medicare billing, Arkansas enrollment
- 78 clinicians in this Medicare group
Fort Smith, AR 72903
- Reassigned Medicare billing, Arkansas enrollment
- 658 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Arkansas enrollment
- 52 clinicians in this Medicare group
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 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.
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.
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.
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.
SPRINGDALE, AR 72764
SPRINGDALE, AR 72764
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.
Which organizations bill Medicare for Derrick Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Gray reassigns Medicare benefits to 7 organizations: University Of Arkansas For Medical Sciences (Springdale, AR), Springdale- Bentonville Hbp Services, LLC (Bentonville, AR), Crawford Physician Services, PLLC (Van Buren, AR), Arkansas Post Discharge Services, PLLC (Fort Smith, AR), Sebastian Physician Services, PLLC (Fort Smith, AR) and 2 more organizations, listed in the Medicare section above. 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 Derrick Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derrick Gray accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 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 4 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.
# Dr. Derrick Andre Gray, M.D. · NPI 1609073022
Family Medicine physician in Springdale, Arkansas. Individual provider, active in the CMS NPPES registry since June 29, 2007.
## Identity
- **NPI:** 1609073022 (Entity type: Individual)
- **Enumerated:** June 29, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** E6424 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2422 N THOMPSON ST, Springdale, AR 72764-1757
- **Phone:** (479) 750-6585 · **Fax:** (479) 750-6594
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1487624490, Springdale, AR); Springdale- Bentonville Hbp Services, LLC (NPI 1811762701, Bentonville, AR); Crawford Physician Services, PLLC (NPI 1346029204, Van Buren, AR); Arkansas Post Discharge Services, PLLC (NPI 1851152029, Fort Smith, AR); Sebastian Physician Services, PLLC (NPI 1255110110, Fort Smith, AR); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 15, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1609073022) · Data from the CMS NPPES public registry.