DR. TIMOTHY J. II GRAY (D.O.) – Family Medicine Physician, NPI 1699770057

DR. TIMOTHY J. II GRAY (D.O.) is a healthcare provider. based in Forest grove, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. DO23965 (OR). The NPI Number for DR. TIMOTHY J. II GRAY (D.O.) is 1699770057

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY J. II GRAY (D.O.)
NPI
1699770057
Phone
(503) 359-4773
Address
PO BOX 189
Enumeration Date
14 June 2005
Last Update Date
16 July 2012

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5033594773
Graduation Year
1996 (30 years ago)
PAC ID
8729037981
Group Practice PAC ID
1355390584
Professional Enrollment ID
I20050117000329
Address ID
OR971248402HI4660XCTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for DR. TIMOTHY J. II GRAY (D.O.)

  • 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

  • 1909, Mountain View Lane, Forest Grove, Metro, Washington County, Oregon, 97116, United States

    SUITE 200

    FOREST GROVE, OR 971162893

    Phone: (503) 359-4773

    Fax: (503) 359-3809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Exact Sciences Corporation ($60).

Total Amount

$148

General + Research + Ownership

Payments

8

Total payment records

General Amount

$148

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

Top Companies

Largest payers in this snapshot

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050117000329IFamily PracticeORTBD

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 minutes422220$0
99213Established patient office or other outpatient visit, 20-29 minutes289207$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit164164$0
G0444Annual depression screening, 5 to 15 minutes131131$0
G0442Annual alcohol misuse screening, 5 to 15 minutes7676$0
View full utilization report →

Insurance plans in this area (ZIP 97116)

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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: 1355390584View full group profile
NameSpecialtyState
Family PracticeOR
Physician AssistantOR
Physician AssistantOR
Family PracticeOR
Physician AssistantCA
Family PracticeOR
Mental Health CounselorTX
Nurse PractitionerOR
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

What is DR. TIMOTHY J. II GRAY (D.O.)'s NPI number?
DR. TIMOTHY J. II GRAY (D.O.)'s NPI is 1699770057 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. TIMOTHY J. II GRAY (D.O.)?
For scheduling context, DR. TIMOTHY J. II GRAY (D.O.) is shown as active in the registry.
What clinical focus is listed for DR. TIMOTHY J. II GRAY (D.O.)?
At a glance, DR. TIMOTHY J. II GRAY (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. TIMOTHY J. II GRAY (D.O.) located near Forest Grove?
DR. TIMOTHY J. II GRAY (D.O.) currently maps to Forest Grove, Oregon in this extract.
Does DR. TIMOTHY J. II GRAY (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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