DEETTA GRAY M.D., FAAD, FRCPC
NPI 1790825966
Dermatology in Bellevue, WA

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
77.31/100
CMS Quality Rating
1515 116TH AVE NE, STE 307, BELLEVUE, WA 98004(425) 999-2628(425) 646-2965 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deetta Gray M.d., Faad, Frcpc NPPES

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

DEETTA GRAY M.D., FAAD, FRCPC (NPI 1790825966) is an individual dermatology provider in Bellevue, Washington, licensed in Washington (025209 MD00035417) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1790825966
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDEETTA GRAYCredential: M.D., FAAD, FRCPC
Location Address1515 116TH AVE NE, STE 307Bellevue, WA 98004-3811
Mailing AddressPo Box 3418Kirkland, WA 98083-3418 · (425) 999-2628 · Fax (425) 646-2965
Fax(425) 646-2965
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 7, 2007
Last NPPES UpdateFebruary 26, 2014
NPI 1790825966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WA · 025209 MD00035417
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1515 116TH AVE NE, Bellevue, WA 98004

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

Deetta Gray M.d., Faad, Frcpc 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 ID7517918428
PECOS Enrollment IDI20050208001049
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 6

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
191 services30 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.
111 services82 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
52 services38 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
25 services20 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
25 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

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.

77.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.04
Promoting Interoperability76
Improvement Activities40
Cost59.33

Other Providers at the Same Location NPPES 19

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

Dentist (General Practice)
1515 116TH AVE NE, SUITE 305
BELLEVUE, WA 98004
Dentist (General Practice)
1515 116TH AVE NE, SUITE 303
BELLEVUE, WA 98004
Dentist (General Practice)
1515 116TH AVE NE, SUITE #305
BELLEVUE, WA 98004
Obstetrics & Gynecology
1515 116TH AVE NE, 205
BELLEVUE, WA 98004
Dentist
1515 116TH AVE NE, SUITE 106
BELLEVUE, WA 98004
Clinic/Center
1515 116TH AVE NE, SUITE 307
BELLEVUE, WA 98004
Specialist
1515 116TH AVE NE, SUITE 300
BELLEVUE, WA 98004
Clinic/Center (Medical Specialty)
1515 116TH AVE NE, SUITE 202
BELLEVUE, WA 98004

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 Deetta Gray's NPI number?

The NPI number for Deetta Gray is 1790825966. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Deetta Gray located?

Deetta Gray practices at 1515 116th Ave NE Ste 307, Bellevue, WA 98004. The listed phone number is (425) 999-2628.

What is Deetta Gray's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Deetta Gray enrolled in Medicare?

Yes. Deetta 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.

What insurance does Deetta Gray accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Deetta 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 Deetta Gray was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.