CHARLES P BRAY (PA-C) – Physician Assistant, NPI 1336120575
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for CHARLES P BRAY (PA-C)
61, Commerce Avenue Southwest, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 495034124
Phone: (616) 940-0660
Fax: (616) 940-1965
Type: Mailing
Lake Drive Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49546, United States
SUITE 305
GRAND RAPIDS, MI 495468292
Phone: (616) 285-1377
Fax: (616) 285-1006
Type: Location
5555 GLENWOOD HILLS PKWY SE STE 2
GRAND RAPIDS, MI 495122091
Phone: (616) 940-2662
Fax: (616) 940-1965
Type: Mailing
2060 E PARIS AVE SE STE 200
GRAND RAPIDS, MI 495466113
Phone: (616) 285-1377
Fax: (616) 285-1154
Type: Location
2680 LEONARD ST NE STE 3
GRAND RAPIDS, MI 495256901
Phone: (616) 317-7246
Fax: (616) 920-6540
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $940.
Total Amount is formed as General ($940) + Research ($0) + Ownership ($0) = $940.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Abbott Laboratories ($390).
Total Amount
$940
General + Research + Ownership
Payments
32
Total payment records
General Amount
$940
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $390 |
| Nevro Corp. | $167 |
| ABBVIE INC. | $83 |
| Teva Pharmaceuticals USA, Inc. | $75 |
| Vertos Medical, Inc. | $39 |
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: 2007-07-13
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 |
|---|---|---|---|---|
| I20070713000722 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 532 | 113 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 388 | 200 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 265 | 96 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 227 | 87 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 113 | 67 | $0 |
Insurance plans in this area (ZIP 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Sports Medicine | MI | |
| Sports Medicine, Family Practice | MI | |
| Physician Assistant | MI | |
| Physician Assistant | IL | |
| Nurse Practitioner | MI | |
| N E U R O S U R G E R Y | IL | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Physician Assistant | MI |
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