TIMOTHY J GRAY (M.D.) – Orthopaedic Surgery Physician, NPI 1215984752
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for TIMOTHY J GRAY (M.D.)
1005 HEALTH CENTER DR STE 201
MATTOON, IL 619384653
Phone: (217) 868-2812
Fax: (217) 258-2216
Type: Mailing
1215 W Main St
Shelbyville, IL 625651252
Phone: (217) 774-4305
Fax: (217) 774-4306
Type: Location
1303 W EVERGREEN AVE STE 200
EFFINGHAM, IL 624011638
Phone: (217) 342-3400
Fax: (217) 342-3477
Type: Location
1303, West Evergreen Avenue, Effingham, Effingham County, Illinois, 62401, United States
EFFINGHAM, IL 624011619
Phone: (217) 342-3400
Fax: (217) 342-3477
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $68.
Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Eitan Medical North America, Inc. ($45).
Total Amount
$68
General + Research + Ownership
Payments
2
Total payment records
General Amount
$68
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eitan Medical North America, Inc. | $45 |
| Pacira Pharmaceuticals Incorporated | $22 |
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: 2010-06-04
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 |
|---|---|---|---|---|
| I20100604001010 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 177 | 127 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 147 | 117 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 94 | 94 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 42 | 42 | $0 |
| 29881 | Removal of knee cartilage using an endoscope | 36 | 35 | $0 |
Insurance plans in this area (ZIP 61938)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 75 | 56 |
| ORTHOPEDIC SURGERY | IL | 27447 | Repair of knee joint | 51 | 47 |
| ORTHOPEDIC SURGERY | IL | 73562 | X-ray of knee, 3 views | 251 | 163 |
| ORTHOPEDIC SURGERY | IL | 73630 | X-ray of foot, minimum of 3 views | 21 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
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