HARRISON MICHAEL GRAY D.O. - NPI 1750950440

Q: 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.

Q: What is Harrison Gray's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Harrison Gray was last updated on July 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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 Address3550 N UNIVERSITY AVE STE 250Provo, UT 84604-6695

Mailing Address3550 N University Ave Ste 250Provo, UT 84604-6695 · (801) 374-9625 · Fax (801) 374-9690

Phone(801) 374-9625

Fax(801) 374-9690

Sole ProprietorNo

Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2021

Enumeration DateJune 18, 2021

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 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.

3550 N UNIVERSITY AVE STE 250, Provo, UT 84604

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Secondary Practice Location 1

Location 11055 N 300 W Ste 101Provo, UT 84604-3381 · Phone (801) 852-3460 · Fax (801) 852-3459

Other Identifiers 1

Medicaid1750950440UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harrison Michael Gray D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.