JENNIFER P GRAY (MD) – Dermatology Physician, NPI 1285644039
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
270 DERMATOLOGY in CT
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Provider Addresses for JENNIFER P GRAY (MD)
455, Boston Post Road, Old Saybrook, Middlesex County, Connecticut, 06475, United States
SUITE 10
OLD SAYBROOK, CT 064751516
Phone: (860) 388-9799
Fax: (860) 388-6646
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2007-06-05
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 |
|---|---|---|---|---|
| I20070605000659 | I | Dermatology | CT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 538 | 357 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 494 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 369 | 270 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 260 | 196 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 228 | 195 | $0 |
Insurance plans in this area (ZIP 06475)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| Physician Assistant | VA | |
| Physician Assistant | CT | |
| D E R M A T O L O G Y | CT |
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