DAVID GRAY (MD) – Family Medicine Physician, NPI 1053312256

DAVID GRAY (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 40304-020 (WI). The NPI Number for DAVID GRAY (MD) is 1053312256

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DAVID GRAY (MD)
NPI
1053312256
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
10 August 2005
Last Update Date
18 November 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529937750
Graduation Year
1997 (29 years ago)
PAC ID
8123007655
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20080709000721
Address ID
MN553724119PR4670XSEXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for DAVID GRAY (MD)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • Nicollet Av, County Road 42 West, Burnsville, Dakota County, Minnesota, 55306, United States

    BURNSVILLE, MN 553375793

    Phone: (952) 428-0200

    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: 2008-07-09

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
I20080709000721IFamily PracticeMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample228126$0
99214Established patient office or other outpatient visit, 30-39 minutes189126$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8686$0
80061Blood test, lipids (cholesterol and triglycerides)7672$0
83036Hemoglobin a1c level6953$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is the registry number for DAVID GRAY (MD)?
The registry entry for DAVID GRAY (MD) shows NPI 1053312256.
Should I treat DAVID GRAY (MD) as an active provider?
Patients and plans typically see DAVID GRAY (MD) as active in the national extract.
How should patients interpret DAVID GRAY (MD)'s specialty?
The extract shows Family Medicine Physician for DAVID GRAY (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DAVID GRAY (MD)?
The directory associates DAVID GRAY (MD) with Minneapolis, Minnesota. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.