ARIELLE R. GRAY (MD) – MOHS-Micrographic Surgery Physician, NPI 1720577117
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
23 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in OR
Provider Addresses for ARIELLE R. GRAY (MD)
2959 SISKIYOU BLVD
MEDFORD, OR 975048131
Phone: (801) 587-0928
Type: Mailing
AMITA Health Resurrection Medical Center, 7435, West Talcott Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States
CHICAGO, IL 606313707
Phone: (773) 990-5261
Type: Mailing
7435 W Talcott Ave
Chicago, IL 606313707
Phone: (773) 990-5261
Type: Location
30 N 1900 E Rm 4A330
Salt Lake City, UT 841320002
Phone: (801) 587-0928
Type: Location
30 N 1900 E RM 4A330
SALT LAKE CITY, UT 841320002
Phone: (801) 587-0928
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $493.
Total Amount is formed as General ($493) + Research ($0) + Ownership ($0) = $493.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Janssen Biotech, Inc. ($108).
Total Amount
$493
General + Research + Ownership
Payments
24
Total payment records
General Amount
$493
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
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $108 |
| ABBVIE INC. | $94 |
| GENZYME CORPORATION | $82 |
| Regeneron Healthcare Solutions, Inc. | $72 |
| Lilly USA, LLC | $70 |
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: 2023-06-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230613003385 | I | Micrographic Dermatologic Surgery (Mds) | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 148 | 41 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 52 | 51 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 51 | 50 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 41 | 41 | $0 |
Insurance plans in this area (ZIP 97504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Pathology | CO | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | CA | |
| - | OR | |
| D E R M A T O L O G Y | OR | |
| D E R M A T O L O G Y | OR | |
| - | OR | |
| Dermatology, Pathology | OR | |
| D E R M A T O L O G Y | VA | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | WA |
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