STEPHANIE M GRAY PA
NPI 1922440361
Physician Assistant in East Waterboro, ME

Active since July 26, 2013PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
10 GOODALL DR, EAST WATERBORO, ME 04030(207) 490-7760 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2019, Nov 8, 2016 (2 updates tracked since 2016).

About Stephanie M Gray Pa NPPES

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

STEPHANIE M GRAY PA (NPI 1922440361) is an individual physician assistant in East Waterboro, Maine, licensed in Maine (PA1416) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922440361
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE M GRAYCredential: PA
Location Address10 GOODALL DREast Waterboro, ME 04030-5214
Mailing Address10 Goodall DrEast Waterboro, ME 04030-5214 · (207) 490-7760
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 26, 2013
Last NPPES UpdateJune 25, 20192 updates tracked since enumeration
NPI 1922440361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ME · PA1416 Licensed in NH · 1092
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.
10 GOODALL DR, East Waterboro, ME 04030

Other Names 1

Former Name (1)Stephanie M Witbrodt

Other Identifiers 1

Medicaid3102665NH

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

Stephanie M Gray Pa 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 ID9234373283
PECOS Enrollment IDI20130913000295
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
92 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04030 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Urgent Care)
10 GOODALL DR
EAST WATERBORO, ME 04030
Nurse Practitioner (Family)
10 GOODALL DR, SUITE 200
EAST WATERBORO, ME 04030
Nurse Practitioner (Family)
10 GOODALL DR, SUITE 900
EAST WATERBORO, ME 04030
Physical Therapist
10 GOODALL DR
E WATERBORO, ME 04030
Clinic/Center (Urgent Care)
10 GOODALL DR
EAST WATERBORO, ME 04030
Pharmacy (Community/Retail Pharmacy)
10 GOODALL DR, STE 800
EAST WATERBORO, ME 04030

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 Stephanie Gray's NPI number?

The NPI number for Stephanie Gray is 1922440361. It was assigned to this individual provider in the NPPES registry on July 26, 2013. The provider is also known as Stephanie M Witbrodt.

Where is Stephanie Gray located?

Stephanie Gray practices at 10 Goodall Dr, East Waterboro, ME 04030. The listed phone number is (207) 490-7760.

What is Stephanie Gray's specialty?

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

Is Stephanie Gray enrolled in Medicare?

Yes. Stephanie 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.

Is Stephanie Gray affiliated with any hospitals?

According to CMS data, Stephanie Gray is affiliated with Maine Medical Center and Elliot Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Gray was last updated on June 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.