BRYAN GRAY (DO) – Dermatology Physician, NPI 1831514025

BRYAN GRAY (DO) is a healthcare provider. based in Lima, Ohio. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials DO. They hold a License No. 5101021720 (MI). The NPI Number for BRYAN GRAY (DO) is 1831514025

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN GRAY (DO)
NPI
1831514025
Phone
(419) 998-8297
Address
1005 BELLEFONTAINE AVE STE 300
Enumeration Date
24 February 2014
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163260114
Graduation Year
2014 (12 years ago)
PAC ID
6002129392
Group Practice PAC ID
5092044487
Professional Enrollment ID
I20180606000316
Address ID
MI493167478CA1661XSEXX500

Contacts

Secure Messaging
bgray@grayderm.ezderm.info
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:12State licenses:2Other names

607 DERMATOLOGY in OH

Provider Addresses for BRYAN GRAY (DO)

  • 1005 BELLEFONTAINE AVE STE 300

    LIMA, OH 458042881

    Phone: (419) 998-8297

    Fax: (419) 226-8309

    Type: Mailing

  • 525 N EASTOWN RD STE A

    LIMA, OH 458072268

    Phone: (419) 998-8297

    Fax: (419) 226-8309

    Type: Location

  • 1005 Bellefontaine Ave Ste 300

    Lima, OH 458042881

    Phone: (419) 998-8297

    Fax: (419) 226-8309

    Type: Location

  • 609 E Chestnut St

    Lancaster, OH 431303900

    Phone: (740) 206-7131

    Type: Location

  • 750 W HIGH ST STE 300

    LIMA, OH 458012967

    Phone: (419) 229-6781

    Fax: (614) 386-9506

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 385 Open Payments records for all available years, with a total value of $11,343.

Total Amount is formed as General ($11,343) + Research ($0) + Ownership ($0) = $11,343.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($4,709).

Total Amount

$11,343

General + Research + Ownership

Payments

385

Total payment records

General Amount

$11,343

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2018-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180606000316IDermatologyMITBD
I20181218002726IDermatologyOHTBD

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
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg9,00042$0
J3245Injection, tildrakizumab, 1 mg8,60028$0
17003Destruction of precancer skin growth, 2-14 growths2,014387$0
Q4234Xcellerate, per square centimeter1,08439$0
99213Established patient office or other outpatient visit, 20-29 minutes1,070677$0
View full utilization report →

Insurance plans in this area (ZIP 45804)

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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: 5092044487View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerOH
Dermatology, PathologyMI
D E R M A T O L O G YTX
D E R M A T O L O G YMI
Physician AssistantMI

Reviews

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Frequently asked questions

How do I look up BRYAN GRAY (DO) by NPI?
Use NPI 1831514025 when you need to reference BRYAN GRAY (DO) in forms, claims, or directories.
Is BRYAN GRAY (DO) active in the national directory?
BRYAN GRAY (DO)'s public NPI profile is in an active state.
What kind of provider is BRYAN GRAY (DO)?
The page reflects Dermatology Physician for BRYAN GRAY (DO). Clinical services aligned with this taxonomy classification.
What location shows for BRYAN GRAY (DO)?
We surface Lima, Ohio for BRYAN GRAY (DO) based on available NPPES addresses.
How can I contact BRYAN GRAY (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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