DR. TERESA KAY GRAY (M.D.) – Internal Medicine Physician, NPI 1043273204
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,638 INTERNAL MEDICINE in MN
Provider Addresses for DR. TERESA KAY GRAY (M.D.)
270 MAIN ST N STE 300
STILLWATER, MN 550826788
Phone: (651) 342-1039
Fax: (651) 342-1428
Type: Mailing
18363 95th Pl N
Maple Grove, MN 553111293
Phone: (763) 732-9322
Type: Location
18363 95TH PL N
MAPLE GROVE, MN 553111293
Phone: (763) 732-9322
Type: Mailing
530 3RD ST NW
ELK RIVER, MN 553301445
Phone: (763) 587-4800
Fax: (763) 587-4845
Type: Location
6401, University Avenue Northeast, Fridley, Anoka County, Minnesota, 55432, United States
FRIDLEY, MN 554324341
Phone: (763) 572-5710
Fax: (763) 571-3008
Type: Mailing
6341, University Avenue Northeast, Fridley, Anoka County, Minnesota, 55432, United States
FRIDLEY, MN 554324946
Phone: (763) 572-5710
Fax: (763) 586-5888
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-09-12
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 |
|---|---|---|---|---|
| I20050912001182 | I | Internal Medicine | MN | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 937 | 263 | $0 |
| G2214 | Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care | 249 | 67 | $0 |
| 99493 | Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes | 119 | 43 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 109 | 62 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 98 | 77 | $0 |
Insurance plans in this area (ZIP 55082)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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