DR. TIMOTHY J. SR. GRAY (D.O.) – Family Medicine Physician, NPI 1003810441
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
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Provider Addresses for DR. TIMOTHY J. SR. GRAY (D.O.)
Mountain View Lane, Forest Grove, Metro, Washington County, Oregon, 97113-8912, United States
SUITE 200
FOREST GROVE, OR 971162893
Phone: (503) 359-4773
Fax: (503) 359-3809
Type: Location
4660 NE Belknap Ct Ste 119
Hillsboro, OR 971248402
Phone: (503) 359-4773
Fax: (503) 359-3809
Type: Location
1909 MOUNTAIN VIEW LN STE 200
FOREST GROVE, OR 971162894
Phone: (503) 359-4773
Fax: (503) 359-3809
Type: Mailing
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
FOREST GROVE, OR 971160189
Phone: (503) 359-4773
Fax: (503) 359-3809
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($55).
Total Amount
$215
General + Research + Ownership
Payments
10
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-01-17
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 |
|---|---|---|---|---|
| I20050117000373 | I | Family Practice | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 409 | 208 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 292 | 178 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 188 | 188 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 154 | 154 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 107 | 107 | $0 |
Insurance plans in this area (ZIP 97116)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Family Practice | OR | |
| Physician Assistant | OR | |
| Physician Assistant | CA | |
| Family Practice | OR | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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