MISS OLIVIA ANN GRAY PA-C
NPI 1821621053
Physician Assistant in Madison, WI

Q: What is Olivia Gray's NPI number?

The NPI number for Olivia Gray is 1821621053. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Q: What is Olivia Gray's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Gray was last updated on December 20, 2021. 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.

Active since February 17, 2020PECOS EnrolledAccepts Medicare Assignment

700 S PARK ST STE A, MADISON, WI 53715(608) 260-2900(608) 260-2961 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2021, Feb 17, 2020 (2 updates tracked since 2020).

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About Miss Olivia Ann Gray Pa-c NPPES

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

MISS OLIVIA ANN GRAY PA-C (NPI 1821621053) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (5624) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1821621053

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS OLIVIA ANN GRAYCredential: PA-C

Location Address700 S PARK ST STE AMadison, WI 53715-1830

Mailing Address700 S Park St Ste AMadison, WI 53715-1830 · (608) 260-2900 · Fax (608) 260-2961

Phone(608) 260-2900

Fax(608) 260-2961

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 17, 2020

Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration

NPPES CertifiedDecember 20, 2021

✔ NPI 1821621053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 5624

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

700 S PARK ST STE A, Madison, WI 53715

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Secondary Practice Location 1

Location 13200 Grand AveDes Moines, IA 50312-4104 · Phone (515) 271-1569

Other Identifiers 1

Medicaid1821621053WI

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

Miss Olivia Ann Gray Pa-c 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 ID9931590593

PECOS Enrollment IDI20211215002923

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 3

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.

38 services37 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.

24 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

MR. ARUN X SWAMINATHAN M.B.B.S.

Psychiatry & Neurology (Neurology)