DR. ADAM TAYLOR WRAY (D.O.) – Obstetrics & Gynecology Physician, NPI 1497289193

DR. ADAM TAYLOR WRAY (D.O.) is a healthcare provider. based in Riverton, Utah. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 12165023-1204 (UT). The NPI Number for DR. ADAM TAYLOR WRAY (D.O.) is 1497289193

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADAM TAYLOR WRAY (D.O.)
NPI
1497289193
Phone
(801) 285-4800
Address
12842 S 3600 W STE 200
Enumeration Date
19 April 2017
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012854800
Graduation Year
2021 (5 years ago)
PAC ID
3173918687
Group Practice PAC ID
8325946700
Professional Enrollment ID
I20220321000967
Address ID
UT840656853RI128423600303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

357 OBSTETRICS/GYNECOLOGY in UT

Provider Addresses for DR. ADAM TAYLOR WRAY (D.O.)

  • 12842 S 3600 W STE 200

    RIVERTON, UT 840656851

    Phone: (801) 285-4800

    Fax: (801) 285-4801

    Type: Location

  • McLaren Greater Lansing, 401, West Greenlawn Avenue, Greencroft Park, Lansing, Ingham County, Michigan, 48910, United States

    LANSING, MI 489102819

    Phone: (801) 913-6771

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $566.

Total Amount is formed as General ($566) + Research ($0) + Ownership ($0) = $566.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Exeltis, USA Inc. ($98).

Total Amount

$566

General + Research + Ownership

Payments

26

Total payment records

General Amount

$566

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2022-03-21

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
I20220321000967IObstetrics/GynecologyUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84065)

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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: 8325946700View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMD
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YUT
-NV
O B S T E T R I C S/ G Y N E C O L O G YKS

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ADAM TAYLOR WRAY (D.O.)'s NPI?
Yes. DR. ADAM TAYLOR WRAY (D.O.) is listed with NPI 1497289193 in the public NPI dataset.
Does CMS list DR. ADAM TAYLOR WRAY (D.O.) as active?
Yes — DR. ADAM TAYLOR WRAY (D.O.) is active in the NPI listing used on this page.
What is DR. ADAM TAYLOR WRAY (D.O.) best known for clinically?
Directory data describes DR. ADAM TAYLOR WRAY (D.O.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ADAM TAYLOR WRAY (D.O.)?
DR. ADAM TAYLOR WRAY (D.O.)'s geographic hint is Riverton, Utah in our summary view.
Is the information about DR. ADAM TAYLOR WRAY (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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