MR. CHARLES RICHARD GRAY (PA) – Medical Physician Assistant, NPI 1316970163
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for MR. CHARLES RICHARD GRAY (PA)
4790 FARTHING DRIVE
COLORADO SPRINGS, CO 80906
Phone: (719) 963-7579
Fax: (719) 538-2961
Type: Mailing
126, Stanwell Street, Colorado Springs, El Paso County, Colorado, 80906, United States
COLORADO SPRINGS, CO 809067993
Phone: (719) 576-0151
Fax: (719) 538-2961
Type: Mailing
3207 N ACADEMY BLVD STE 3500
COLORADO SPRINGS, CO 809175100
Phone: (719) 632-5700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $318.
Total Amount is formed as General ($318) + Research ($0) + Ownership ($0) = $318.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: PFIZER INC. ($60).
Total Amount
$318
General + Research + Ownership
Payments
14
Total payment records
General Amount
$318
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-03-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080307000120 | I | Physician Assistant | CO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CO | |
| Nurse Practitioner | CO | |
| Internal Medicine | TX | |
| Internal Medicine | TX | |
| Family Practice | CO | |
| Internal Medicine | MD |
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