DR. JACK KENNETH JR. GRAY (MD) – Psychiatry Physician, NPI 1295708519

DR. JACK KENNETH JR. GRAY (MD) is a healthcare provider. based in Norman, Oklahoma. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 19414 (TN). The NPI Number for DR. JACK KENNETH JR. GRAY (MD) is 1295708519

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK KENNETH JR. GRAY (MD)
NPI
1295708519
Phone
(405) 573-3934
Address
909 ALAMEDA ST
Enumeration Date
8 February 2006
Last Update Date
24 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5802384277
Graduation Year
1984 (42 years ago)
PAC ID
8325113145
Group Practice PAC ID
5193113751
Professional Enrollment ID
I20080813000606
Address ID
OK734011810AR1013XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

363 PSYCHIATRY in OK

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Provider Addresses for DR. JACK KENNETH JR. GRAY (MD)

  • Alameda Street, Norman, Cleveland County, Oklahoma, 73026, United States

    PO BOX 400

    NORMAN, OK 730715229

    Phone: (405) 573-3934

    Fax: (405) 573-3962

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 210 Open Payments records for all available years, with a total value of $3,424.

Total Amount is formed as General ($3,424) + Research ($0) + Ownership ($0) = $3,424.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($508).

Total Amount

$3,424

General + Research + Ownership

Payments

210

Total payment records

General Amount

$3,424

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2008-08-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080813000606IPsychiatryOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4113$0
View full utilization report →

Insurance plans in this area (ZIP 73071)

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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: 5193113751View full group profile
NameSpecialtyState
Pediatric MedicineVA
Nurse PractitionerOK
Nurse PractitionerOK
Clinical Social WorkerOK
Clinical Social WorkerOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

How do payers reference DR. JACK KENNETH JR. GRAY (MD)?
For DR. JACK KENNETH JR. GRAY (MD), use NPI 1295708519 as the unique 10-digit identifier.
Is DR. JACK KENNETH JR. GRAY (MD) shown as active in public data?
Registry records indicate DR. JACK KENNETH JR. GRAY (MD) maintains an active NPI.
What area of care is associated with DR. JACK KENNETH JR. GRAY (MD)?
DR. JACK KENNETH JR. GRAY (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JACK KENNETH JR. GRAY (MD)?
Directory geography for DR. JACK KENNETH JR. GRAY (MD) centers on Norman, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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