KATY E GRAY (MD) – Obstetrics & Gynecology Physician, NPI 1144663568
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KATY E GRAY (MD)
4600 Memorial Dr Ste 240
Belleville, IL 622265363
Phone: (618) 234-2390
Fax: (618) 234-9936
Type: Location
1414 Cross St Ste 240
Shiloh, IL 622692988
Phone: (618) 234-2390
Type: Location
405 W Jackson St
Carbondale, IL 629011462
Phone: (618) 549-0721
Fax: (618) 549-0411
Type: Location
4600 MEMORIAL DR STE 240
BELLEVILLE, IL 622265363
Phone: (618) 234-2390
Fax: (618) 234-9936
Type: Mailing
10777 SUNSET OFFICE DR STE 200
SAINT LOUIS, MO 631271019
Phone: (314) 842-4802
Fax: (314) 849-8721
Type: Location
PO BOX 776084
CHICAGO, IL 606772988
Phone: (314) 842-4802
Fax: (314) 849-8721
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($31).
Total Amount
$89
General + Research + Ownership
Payments
5
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $31 |
| Organon LLC | $26 |
| Sumitomo Pharma America, Inc. | $17 |
| ABBVIE INC. | $15 |
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: 2022-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20191106000027 | I | Obstetrics/Gynecology | IL | TBD |
| I20220603000501 | I | Obstetrics/Gynecology | MO | 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 62226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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