MISS NADEEN W GRAY MD NPI 1770598831

Family Medicine in Austin, TX

NPI 1770598831 Individual Female Years of Experience 29 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 46.9

About NADEEN GRAY

Nadeen Gray is a primary care provider established in Austin, Texas and her medical specialization is family medicine with more than 29 years of experience. She graduated from University Of Texas Southwestern Medical School At Dallas in 1993. The NPI number of Nadeen Gray is 1770598831 and was assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number K5031 (TX). The provider is registered as an individual and her NPI record was last updated January 2022.

A primary care provider (PCP) like Miss Nadeen W Gray Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Nadeen Gray is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Nadeen Gray is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 46.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.89 for a new patient copayment and $26.49 for an established patient copayment.

NPI

1770598831

Provider NameMISS NADEEN W GRAY MD
Provider Location Address5701 W SLAUGHTER LN BLDG. C AUSTIN, TX 78749
Provider Mailing Address5701 W SLAUGHTER LN BLDG C AUSTIN, TX 78749
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year1993
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-29-2006
Last Update Date01-26-2022


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.K5031
License StateTX
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

MISS NADEEN W GRAY MD
5701 W SLAUGHTER LN
BLDG. C
AUSTIN, TX
ZIP 78749
Phone: (512) 901-4031
Fax: (512) 334-2589

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Mailing Address

MISS NADEEN W GRAY MD
5701 W SLAUGHTER LN
BLDG C
AUSTIN, TX
ZIP 78749
Phone: (512) 901-4479
Fax: (512) 901-3945



Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9234194176
PECOS Enrollment IDI20041119000926
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 78749 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$59.83 $179.81 $91.56
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.95 $44.95 $22.89
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.07 $147.53 $105.96
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.76 $36.88 $26.49

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 0
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 78
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 70.1
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 46.9
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
103515604MEDICAID (05)TX
103515602MEDICAID (05)TX
103515603MEDICAID (05)TX

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538507181THE AUSTIN DENTIST, PLLC
Organization
Dentist5701 W SLAUGHTER LN SUITE B120
AUSTIN, TX 78749
(512) 467-4722
1144289034DR. ERICA C. MOELLER MD
Individual
Family Medicine5701 W SLAUGHTER LN
AUSTIN, TX 78749
(512) 901-4031
1003013301DR. VALERIE MARIANA SANTIAGO-DOYLE DDS
Individual
Dentist5701 W SLAUGHTER LN SUITE B120
AUSTIN, TX 78749
(512) 467-4722
1518345057AUSTIN ONCALL EM PHYSICIANS PLLC
Organization
Emergency Medicine5701 W SLAUGHTER LN BLDG G
AUSTIN, TX 78749
(512) 651-5787
1801272372 ERIN JOHNSON CPNP
Individual
Nurse Practitioner (Pediatrics)5701 W SLAUGHTER LN BLDG C
AUSTIN, TX 78749
(512) 334-2504
1821268798DR. GEORGE J MUNDANTHANAM M.D.
Individual
Orthopaedic Surgery5701 W SLAUGHTER LN A130-442
AUSTIN, TX 78749
(512) 301-4263
1669484226DR. NATASHA L DEWALD AUD
Individual
Audiologist-Hearing Aid Fitter5701 W SLAUGHTER LN STE A130-227
AUSTIN, TX 78749
(512) 956-4327
1285181107HEARS TO YOU, PLLC
Organization
Audiologist-Hearing Aid Fitter5701 W SLAUGHTER LN STE A130-227
AUSTIN, TX 78749
(512) 956-4327
1083236376SOUTH AUSTIN EMERGENCY CENTER, LLC
Organization
Emergency Medicine5701 W SLAUGHTER LN
AUSTIN, TX 78749
(832) 699-3777

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.