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DR. KEVIN DAVID GRAYSON M.D.
NPI 1932128477
Pediatrics in La Grande, OR

Active since July 18, 2006PECOS Enrolled
710 SUNSET DR STE E, LA GRANDE, OR 97850(541) 663-3150(541) 975-5111 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kevin David Grayson M.d. NPPES

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

DR. KEVIN DAVID GRAYSON M.D. (NPI 1932128477) is an individual pediatrics provider in La Grande, Oregon, licensed in Oregon (MD23354) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932128477
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KEVIN DAVID GRAYSONCredential: M.D.
Location Address710 SUNSET DR STE ELa Grande, OR 97850-1200
Mailing Address710 Sunset Dr Ste ELa Grande, OR 97850-1200 · (541) 663-3150 · Fax (541) 975-5111
Phone(541) 663-3150
Fax(541) 975-5111
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJanuary 22, 2026
NPPES CertifiedJanuary 22, 2026
✔ NPI 1932128477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD23354
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
710 SUNSET DR STE E, La Grande, OR 97850
Open in Google Maps ↗

Other Identifiers 3

OtherH1258-02OR · Other
Medicaid287182OR
Other9305053253002Employer Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin David Grayson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Grayson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grande Ronde Hospital, Inc.
0.1 mi
Critical Access
900 SUNSET DR
La Grande, OR 97850
  • Reassigned Medicare billing, Oregon enrollment
  • 158 clinicians in this Medicare group
NPI 1467446195 (541) 963-1472

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97850 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
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 9

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

DR. EVE KOLTUV M.D.
Pediatrics
710 SUNSET DR STE E
LA GRANDE, OR 97850
Union County (541) 663-3150
JEANNA ROMER M.D
Obstetrics & Gynecology
710 SUNSET DR STE E
LA GRANDE, OR 97850
Union County (416) 633-3150
DEBORA BROWN-CUMPTON LCSW
Social Worker (Clinical)
710 SUNSET DR STE E
LA GRANDE, OR 97850
Union County (541) 663-3150
SOREN KOSTOFF MADSEN
Obstetrics & Gynecology
710 SUNSET DR STE E
LA GRANDE, OR 97850
Union County (541) 663-3150
KAYLA NIXON FNP
Nurse Practitioner (Family)
710 SUNSET DR STE E
LA GRANDE, OR 97850
Union County (541) 663-3100
JAMES R KOPP M.D., P.C.
Orthopaedic Surgery
710 SUNSET DR STE E
LA GRANDE, OR 97850
Union County (541) 963-9843
JAMES R KOPP MD PC
Durable Medical Equipment & Medical Supplies
710 SUNSET DR STE E
LA GRANDE, OR 97850
Union County (541) 963-9843
DR. ZACHARY W SPOEHR-LABUTTA MD
Pediatrics
710 SUNSET DR STE E
LA GRANDE, OR 97850
Union County (541) 663-3150

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 Kevin Grayson's NPI number?

The NPI number for Kevin Grayson is 1932128477. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Kevin Grayson located?

Kevin Grayson practices at 710 Sunset Dr Ste E, La Grande, OR 97850. The listed phone number is (541) 663-3150.

What is Kevin Grayson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kevin Grayson enrolled in Medicare?

Yes. Kevin Grayson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Grayson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Grayson reassigns Medicare benefits to Grande Ronde Hospital, Inc. (La Grande, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Grayson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Grayson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Kevin Grayson 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 Kevin Grayson was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.