DALE R GRAY (M.D.) – Internal Medicine Physician, NPI 1043252075
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DALE R GRAY (M.D.)
2829, Glenwood Avenue, Rockford, Winnebago County, Illinois, 61101, United States
ROCKFORD, IL 611013542
Phone: (815) 962-0633
Fax: (815) 962-0142
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)
CMS reports 58 Open Payments records for all available years, with a total value of $1,073.
Total Amount is formed as General ($1,073) + Research ($0) + Ownership ($0) = $1,073.
Last reported payment date: 2024-07-29 • Largest payer in this snapshot: ABBVIE INC. ($139).
Total Amount
$1,073
General + Research + Ownership
Payments
58
Total payment records
General Amount
$1,073
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $139 |
| GlaxoSmithKline, LLC. | $109 |
| E.R. Squibb & Sons, L.L.C. | $65 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $56 |
| PFIZER INC. | $54 |
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: 2004-12-09
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 |
|---|---|---|---|---|
| I20041209000570 | I | Internal Medicine | IL | 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 |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 602 | 122 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 368 | 221 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 231 | 99 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 194 | 143 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 136 | 32 | $0 |
Insurance plans in this area (ZIP 61101)
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