ALEXANDER GUSTAV WRAY (PA-C) – Physician Assistant, NPI 1033763040
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for ALEXANDER GUSTAV WRAY (PA-C)
400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States
DULUTH, MN 558051951
Phone:
Type: Mailing
707 N IOWA ST
GUNNISON, CO 812302229
Phone: (970) 641-1456
Type: Mailing
4855, West Arrowhead Road, Hermantown, Saint Louis County, Minnesota, 55811, United States
HERMANTOWN, MN 558113936
Phone: (218) 786-3540
Type: Location
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: 2023-07-26 • Largest payer in this snapshot: Bioventus LLC ($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
2023-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $21 |
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: 2022-08-19
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 |
|---|---|---|---|---|
| I20220819000345 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 144 | 48 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 110 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 58 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 65 | 17 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 49 | 40 | $0 |
Insurance plans in this area (ZIP 55805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Certified Nurse Midwife (Cnm) | CO | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Mental Health Counselor | CO | |
| Mental Health Counselor | CO | |
| Physician Assistant | CO | |
| Mental Health Counselor | CO | |
| Physician Assistant | UT | |
| Physician Assistant | CO | |
| - | CO |
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