JILLIAN S GRAY D.O.
NPI 1639296957
Internal Medicine in Huntington Beach, CA

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
17122 BEACH BLVD STE 203, HUNTINGTON BEACH, CA 92647(714) 941-2259(714) 455-1380 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 13, 2020, Mar 30, 2020, Aug 12, 2019 and 2 more (5 updates tracked since 2018).

About Jillian S Gray D.o. NPPES

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

JILLIAN S GRAY D.O. (NPI 1639296957) is an individual internal medicine provider in Huntington Beach, California, licensed in California (20A8683) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1639296957
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJILLIAN S GRAYCredential: D.O.
Location Address17122 BEACH BLVD STE 203Huntington Beach, CA 92647
Mailing Address18685 Main St Ste 101-622Huntington Beach, CA 92648-1723 · (714) 941-2259 · Fax (714) 941-2259
Fax(714) 455-1380
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 23, 2007
Last NPPES UpdateNovember 13, 20205 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
NPI 1639296957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · 20A8683
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
17122 BEACH BLVD STE 203, Huntington Beach, CA 92647

Other Names 1

Former Name (1)Jillian S. Thach D.o.

Secondary Practice Locations 3

Location 117400 Irvine Blvd Ste MTustin, CA 92780-3030 · Phone (714) 941-2259 ext. 4 · Fax (714) 455-1380
Location 218685 Main St Ste 101-176Huntington Beach, CA 92648-1723 · Phone (714) 941-2259 ext. 4 · Fax (714) 594-3861
Location 318821 Delaware St Ste 204Huntington Beach, CA 92648-1936 · Phone (714) 941-2259 ext. 6 · Fax (714) 455-1380

Other Identifiers 1

Medicaid00AX86830CA

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

Jillian S Gray D.o. 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 ID7113931445
PECOS Enrollment IDI20060125001027
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 19

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.
235 services79 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
100 services53 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
100 services52 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
96 services50 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
72 services54 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
72 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92647 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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 supplier11 claims11 services$14.86 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

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

Internal Medicine
17122 BEACH BLVD STE 203
HUNTINGTON BEACH, CA 92647

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 Jillian Gray's NPI number?

The NPI number for Jillian Gray is 1639296957. It was assigned to this individual provider in the NPPES registry on March 23, 2007. The provider is also known as Jillian S. Thach D.O..

Where is Jillian Gray located?

Jillian Gray practices at 17122 Beach Blvd Ste 203, Huntington Beach, CA 92647. The listed phone number is (714) 941-2259.

What is Jillian Gray's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jillian Gray enrolled in Medicare?

Yes. Jillian 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.

When was this NPI record last updated?

The NPPES record for Jillian Gray was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.