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HARRISON MICHAEL GRAY D.O.
NPI 1750950440
Surgery in Provo, UT

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment
1055 N 300 W STE 101, PROVO, UT 84604(801) 852-3460(801) 852-3459 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2026, Jul 9, 2026, Jun 18, 2021 (3 updates tracked since 2021).

About Harrison Michael Gray D.o. NPPES

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

HARRISON MICHAEL GRAY D.O. (NPI 1750950440) is an individual surgery provider in Provo, Utah, licensed in Utah (8849808-1204) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1750950440
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameHARRISON MICHAEL GRAYCredential: D.O.
Location Address1055 N 300 W STE 101Provo, UT 84604-3381
Mailing Address3550 N University Ave Ste 250Provo, UT 84604-6695 · (801) 374-9625 · Fax (801) 374-9690
Phone(801) 852-3460
Fax(801) 852-3459
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2021
Enumeration DateJune 18, 2021
Last NPPES UpdateAugust 10, 20263 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1750950440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in UT · 8849808-1204
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1055 N 300 W STE 101, Provo, UT 84604
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Secondary Practice Location 1

Location 13550 N University Ave Ste 250Provo, UT 84604-6695 · Phone (801) 374-9625 · Fax (801) 374-9690

Other Identifiers 1

Medicaid1750950440UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Harrison Michael 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 ID9537640883
PECOS Enrollment IDI20260225000034
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 Harrison Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utah Surgical Associates, Inc.
3.6 mi
Specialist
3550 N UNIVERSITY AVE STE 250
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 54 clinicians in this Medicare group
NPI 1851450720 (801) 374-9625

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 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

D ANDERSON MILLAR MD
Surgery
1055 N 300 W STE 101
PROVO, UT 84604
Utah County (801) 852-3460
S SOPHIA OLSEN FNP-C
Nurse Practitioner
1055 N 300 W STE 101
PROVO, UT 84604
Utah County (801) 852-3460
CINDY STOCK EVANS A.P.R.N.
Nurse Practitioner (Family)
1055 N 300 W STE 101
PROVO, UT 84604
Utah County (801) 852-3460
LISA NICOLE ANDERSON MD
Surgery
1055 N 300 W STE 101
PROVO, UT 84604
Utah County (801) 852-3460

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 Harrison Gray's NPI number?

The NPI number for Harrison Gray is 1750950440. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Harrison Gray located?

Harrison Gray practices at 1055 N 300 W Ste 101, Provo, UT 84604. The listed phone number is (801) 852-3460.

What is Harrison Gray's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Harrison Gray enrolled in Medicare?

Yes. Harrison 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 organization bills Medicare for Harrison Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harrison Gray reassigns Medicare benefits to Utah Surgical Associates, Inc. (Provo, UT). The 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 Harrison Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harrison Gray accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Harrison 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 Harrison Gray was last updated on August 10, 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.