JONATHAN RAY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1003378308

JONATHAN RAY (DPM) is a healthcare provider. based in Queen creek, Arizona. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD-001045 (AZ). The NPI Number for JONATHAN RAY (DPM) is 1003378308

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN RAY (DPM)
NPI
1003378308
Phone
(520) 221-6480
Address
19624 E VIA PARK ST
Enumeration Date
4 April 2019
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
6029383600
Graduation Year
2019 (7 years ago)
PAC ID
9830570621
Group Practice PAC ID
8729986955
Professional Enrollment ID
I20220726001515
Address ID
AZ853064673GL5750XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

472 PODIATRY in AZ

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Provider Addresses for JONATHAN RAY (DPM)

  • 19624, East Via Park Street, Queen Creek, Maricopa County, Arizona, 85142, United States

    QUEEN CREEK, AZ 851426585

    Phone: (520) 221-6480

    Type: Mailing

  • 5750 W THUNDERBIRD RD

    G700

    GLENDALE, AZ 853064691

    Phone: (602) 938-3600

    Fax: (602) 938-0400

    Type: Mailing

  • 5750 W THUNDERBIRD RD G700

    GLENDALE, AZ 853064660

    Phone: (602) 938-3600

    Fax: (602) 938-0400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $3,359.

Total Amount is formed as General ($3,359) + Research ($0) + Ownership ($0) = $3,359.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: TriMed, Inc. ($1,340).

Total Amount

$3,359

General + Research + Ownership

Payments

30

Total payment records

General Amount

$3,359

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220726001515IPodiatryAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10748$0
99203New patient office or other outpatient visit, 30-44 minutes5555$0
73630X-ray of foot, minimum of 3 views4329$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3327$0
11721Removal of fingernails or toenails, 6 or more nails3119$0
View full utilization report →

Insurance plans in this area (ZIP 85142)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729986955View full group profile
NameSpecialtyState
P O D I A T R YAZ
P O D I A T R YAZ

Reviews

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Frequently asked questions

What is the registry number for JONATHAN RAY (DPM)?
The registry entry for JONATHAN RAY (DPM) shows NPI 1003378308.
Is JONATHAN RAY (DPM) currently accepting referrals based on NPI status?
Registry metadata lists JONATHAN RAY (DPM) as active.
How should patients interpret JONATHAN RAY (DPM)'s specialty?
The extract shows Foot & Ankle Surgery Podiatrist for JONATHAN RAY (DPM). Clinical services aligned with this taxonomy classification.
What city is tied to JONATHAN RAY (DPM)?
The directory associates JONATHAN RAY (DPM) with Queen Creek, Arizona. Check all listed addresses for suites or satellite offices.
Can I export JONATHAN RAY (DPM)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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