DR. WILLIAM GRAY MILLSAP (M.D.) – Emergency Medicine Physician, NPI 1124448311

DR. WILLIAM GRAY MILLSAP (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. R2921 (TX). The NPI Number for DR. WILLIAM GRAY MILLSAP (M.D.) is 1124448311

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM GRAY MILLSAP (M.D.)
NPI
1124448311
Phone
Not provided
Address
PO BOX 660599
Enumeration Date
26 April 2014
Last Update Date
2 July 2017

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
2149478181
Graduation Year
2014 (12 years ago)
PAC ID
5395015358
Group Practice PAC ID
7012161375
Professional Enrollment ID
I20170724003669
Address ID
TX752031201DA1441XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. WILLIAM GRAY MILLSAP (M.D.)

  • PO BOX 660599

    DALLAS, TX 752660599

    Phone:

    Type: Mailing

  • 5201 HARRY HINES BLVD

    GRADUDATE MEDICAL EDUCATION

    DALLAS, TX 752357708

    Phone: (214) 590-8058

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-07-24

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
I20170724003669IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making248236$0
99284Emergency department visit with moderate level of medical decision making7167$0
99291Critical care, first 30-74 minutes5151$0
99283Emergency department visit with low level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 75266)

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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: 7012161375View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineLA
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineOK
Emergency MedicineIL
Emergency MedicineTX

Reviews

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Frequently asked questions

What federal number belongs to DR. WILLIAM GRAY MILLSAP (M.D.)?
The federal identifier for DR. WILLIAM GRAY MILLSAP (M.D.) is NPI 1124448311.
Is DR. WILLIAM GRAY MILLSAP (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. WILLIAM GRAY MILLSAP (M.D.) treat or focus on?
Patients typically see DR. WILLIAM GRAY MILLSAP (M.D.) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. WILLIAM GRAY MILLSAP (M.D.) practice in Texas?
You will see Dallas, Texas on file for DR. WILLIAM GRAY MILLSAP (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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