ROBERT M. GAY JR. MD
NPI 1649290669
Internal Medicine - Rheumatology in Winston Salem, NC

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
1995 BETHABARA RD, WINSTON SALEM, NC 27106(336) 896-1477(336) 759-3652 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert M. Gay Jr. Md NPPES

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

ROBERT M. GAY JR. MD (NPI 1649290669) is an individual rheumatology provider in Winston Salem, North Carolina, licensed in North Carolina (96-00544) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1990).

NPPES Registry Identity

NPI1649290669
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameROBERT M. GAY JR.Credential: MD
Location Address1995 BETHABARA RDWinston Salem, NC 27106-3375
Mailing AddressPo Box 60516Charlotte, NC 28260-0516
Fax(336) 759-3652
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1990
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 3, 2022
NPPES CertifiedJune 3, 2022
NPI 1649290669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NC · 96-00544
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 96-00544 (NC)
1995 BETHABARA RD, Winston Salem, NC 27106

Other Identifiers 2

Medicaid8934979NC
Other110128141NC · Rr Medicare

Accepted 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

Robert M. Gay Jr. Md 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 ID547282287
PECOS Enrollment IDI20051222000393
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 4

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.
612 services295 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.
202 services143 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.
17 services17 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340085
Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27106 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
92%223 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
70%269 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%325 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
50%165 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
2%187 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Family Medicine
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Family Medicine
1995 BETHABARA RD
WINSTON-SALEM, NC 27106
Family Medicine
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Physician Assistant (Surgical)
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Physician Assistant
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Nurse Practitioner
1995 BETHABARA RD
WINSTON SALEM, NC 27106
Nurse Practitioner
1995 BETHABARA RD
WINSTON SALEM, NC 27106

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 Robert Gay's NPI number?

The NPI number for Robert Gay is 1649290669. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Robert Gay located?

Robert Gay practices at 1995 Bethabara Rd, Winston Salem, NC 27106. The listed phone number is (336) 896-1477.

What is Robert Gay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Robert Gay enrolled in Medicare?

Yes. Robert Gay 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 Robert Gay accept?

Health plans from Blue Cross and Blue Shield of NC list Robert Gay 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 Robert Gay affiliated with any hospitals?

According to CMS data, Robert Gay is affiliated with Novant Health Forsyth Medical Center and Novant Health Thomasville Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Gay was last updated on June 3, 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.