LAUREL S. GRAY (MD, MS) – Dermatology Physician, NPI 1487117867
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
Provider Addresses for LAUREL S. GRAY (MD, MS)
30 N 1900 E Rm 4A330
Salt Lake City, UT 841320002
Phone: (801) 581-6465
Type: Location
1490 N TURQUOISE DR
FLAGSTAFF, AZ 860011383
Phone: (928) 774-5074
Fax: (928) 779-0884
Type: Location
Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84412, United States
SALT LAKE CITY, UT 841131125
Phone: (801) 662-5701
Type: Mailing
50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
SALT LAKE CITY, UT 841320001
Phone: (801) 581-2121
Type: Location
30 N 1900 E RM 4A330
SALT LAKE CITY, UT 841320002
Phone: (801) 581-6465
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2023-10-04 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($46).
Total Amount
$46
General + Research + Ownership
Payments
1
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $46 |
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: 2025-07-31
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 |
|---|---|---|---|---|
| I20250731002723 | I | Dermatology | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds), Pathology | AZ | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | AZ | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | AZ | |
| - | AZ | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | AZ | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | AZ | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | AZ | |
| Physician Assistant | AZ |
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