MS. THERESE MARIE RAY (M.D.) – Family Medicine Physician, NPI 1043667207
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
355 FAMILY PRACTICE in VT
Provider Addresses for MS. THERESE MARIE RAY (M.D.)
789 PINE ST
BURLINGTON, VT 054014924
Phone: (802) 864-0693
Type: Mailing
44 MAIN ST STE 200
RICHFORD, VT 054761141
Phone: (802) 255-5581
Type: Mailing
3 CREST RD
SAINT ALBANS, VT 054789753
Phone: (802) 524-4554
Type: Location
3 Crest Rd
Saint Albans, VT 054789753
Phone: (802) 524-4554
Type: Location
75 Beekman St
Plattsburgh, NY 129011438
Phone: (518) 561-2000
Type: Location
617 Riverside Ave
Burlington, VT 054011601
Phone: (802) 864-6309
Type: Location
32 Malletts Bay Ave Ste B
Winooski, VT 054041960
Phone: (802) 655-4422
Type: Location
87 Main St
Essex Junction, VT 054523234
Phone: (802) 860-4324
Type: Location
Champlain Valley Physicians Hospital, 75, Beekman Street, Plattsburgh, Clinton County, New York, 12901, United States
PLATTSBURGH, NY 129011438
Phone: (518) 561-2000
Type: Mailing
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: 2020-12-14
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 |
|---|---|---|---|---|
| I20201214002612 | I | Family Practice | VT | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 302 | 202 | $0 |
| 83036 | Hemoglobin a1c level | 104 | 67 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 44 | 44 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 41 | 41 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 37 | 37 | $0 |
Insurance plans in this area (ZIP 05401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| - | VT | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT | |
| Clinical Social Worker | MA | |
| Physician Assistant | VT | |
| - | VT | |
| - | VT | |
| - | VT | |
| Physician Assistant | VT |
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