LISA M GRAY (MD) – Maternal & Fetal Medicine Physician, NPI 1851563571

LISA M GRAY (MD) is a healthcare provider. based in Urbana, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 263724 (NY). The NPI Number for LISA M GRAY (MD) is 1851563571

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
LISA M GRAY (MD)
NPI
1851563571
Phone
Not provided
Address
611 W PARK ST
Enumeration Date
2 April 2008
Last Update Date
10 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887122753
Graduation Year
2008 (18 years ago)
PAC ID
0143538355
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20210415002372
Address ID
IL618012501UR611XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:18State licenses:2Digital endpointsOther names

3,472 OBSTETRICS/GYNECOLOGY in NY

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Provider Addresses for LISA M GRAY (MD)

  • 611 W PARK ST

    FAPC

    URBANA, IL 61801

    Phone:

    Type: Mailing

  • University of Rochester Medical Center, 601, Elmwood Avenue, Upper Mount Hope, Rochester, Monroe, New York, 14611, United States

    BOX 668

    ROCHESTER, NY 146428668

    Phone: (585) 275-2691

    Fax: (585) 242-8707

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Astellas Pharma US Inc ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$21
View all Open Payments →|Open Payments Risk Radar →

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: 2021-04-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210415002372IObstetrics/GynecologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 61801)

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Provider's Procedures

LISA M GRAY (MD) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYNY76830Ultrasound pelvis through vagina1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

Can I use this page to confirm LISA M GRAY (MD)'s NPI?
Yes. LISA M GRAY (MD) is listed with NPI 1851563571 in the public NPI dataset.
Does the file indicate LISA M GRAY (MD) is practicing under active NPI?
Directory data currently reports LISA M GRAY (MD) as active.
What taxonomy line describes LISA M GRAY (MD)?
For research purposes, treat LISA M GRAY (MD) as Maternal & Fetal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect LISA M GRAY (MD) on a map?
Expect Urbana, Illinois as a primary anchor for LISA M GRAY (MD) unless the record lists multiple sites.
Why does LISA M GRAY (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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