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CARLY GRAY NP
NPI 1962804641
Nurse Practitioner - Adult Health in La Grande, OR

Active since September 24, 2014PECOS EnrolledAccepts Medicare Assignment
71.93/100
CMS Quality Rating
506 4TH ST, LA GRANDE, OR 97850(541) 663-3138(541) 975-5120 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carly Gray Np NPPES

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

CARLY GRAY NP (NPI 1962804641) is an individual adult health provider in La Grande, Oregon, licensed in Oregon (201503486NP-PP) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962804641
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCARLY GRAYCredential: NP
Location Address506 4TH STLa Grande, OR 97850
Mailing AddressPo Box 3290La Grande, OR 97850-7290 · (541) 963-1967 · Fax (541) 963-1837
Phone(541) 663-3138
Fax(541) 975-5120
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 24, 2014
Last NPPES UpdateJuly 24, 2018
✔ NPI 1962804641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in OR · 201503486NP-PP✔ Licensed in ID · NP-1503A
506 4TH ST, La Grande, OR 97850
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Moda Health Plan, Inc..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

Carly Gray Np 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 ID6204149867
PECOS Enrollment IDI20250826000089
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.

Hospital Affiliations CMS Care Compare 2

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

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

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.

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.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.53
Promoting Interoperability100
Improvement Activities40
Cost10

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers307 claims307 services$43.73 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers247 claims247 services$111.41 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers308 claims687 services$42.03 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers125 claims560 services$23.43 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers42 claims179 services$17.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers140 claims140 services$69.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BRADLEY JACK TISHMAN
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
DR. MICHELLE TOLLE D.O.
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
TRACEY KATHLEEN TRACY MD
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
EMILIA ARDEN D.O.
Internal Medicine (Cardiovascular Disease)
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 963-2328
KATELYN LEIGH PRESLEY CHW
Community Health Worker
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3147
MS. JESSICA EILEEN MARTIN MSN, RN, FNP-BC
Nurse Practitioner (Family)
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
LINDSAY CRAWFORD NP-PP
Nurse Practitioner (Family)
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
BROOKE DAVIS DO
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138

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 Carly Gray's NPI number?

The NPI number for Carly Gray is 1962804641. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Carly Gray located?

Carly Gray practices at 506 4th St, La Grande, OR 97850. The listed phone number is (541) 663-3138.

What is Carly Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carly Gray enrolled in Medicare?

Yes. Carly 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 Carly Gray accept?

Health plans from Anthem Blue Cross and Blue Shield and Moda Health Plan, Inc. list Carly 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.

Is Carly Gray affiliated with any hospitals?

According to CMS data, Carly Gray is affiliated with Rutland Regional Medical Center and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Carly Gray was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.