EVAN LAURENCE GRAY (DO) – Neurology Physician, NPI 1134625593

EVAN LAURENCE GRAY (DO) is a healthcare provider. based in Falls church, Virginia. specializing in NEUROLOGY. They hold the professional credentials DO. They hold a License No. 20A17616 (CA). The NPI Number for EVAN LAURENCE GRAY (DO) is 1134625593

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
EVAN LAURENCE GRAY (DO)
NPI
1134625593
Phone
(909) 255-4269
Address
7115 LEESBURG PIKE STE 201
Enumeration Date
4 April 2018
Last Update Date
30 June 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7033139111
Graduation Year
2018 (8 years ago)
PAC ID
9335520139
Group Practice PAC ID
2567352412
Professional Enrollment ID
I20241029004728
Address ID
VA223103258AL6355XLNXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

709 NEUROLOGY in VA

Provider Addresses for EVAN LAURENCE GRAY (DO)

  • 7115 LEESBURG PIKE STE 201

    FALLS CHURCH, VA 220432301

    Phone: (909) 255-4269

    Type: Mailing

  • Loma Linda University, Campus Street, Loma Linda, San Bernardino County, California, 92350, United States

    LOMA LINDA, CA 923542741

    Phone: (909) 558-4907

    Type: Location

  • Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    GME OFFICE WESTERLY SUITE 'C'

    LOMA LINDA, CA 923542804

    Phone:

    Type: Mailing

  • 11370 ANDERSON ST # B100

    LOMA LINDA, CA 923543450

    Phone: (909) 558-2880

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 307 Open Payments records for all available years, with a total value of $23,501.

Total Amount is formed as General ($23,501) + Research ($0) + Ownership ($0) = $23,501.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($16,363).

Total Amount

$23,501

General + Research + Ownership

Payments

307

Total payment records

General Amount

$23,501

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

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: 2024-10-29

PECOS data refreshed: 2026-06-15

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
I20241029004728INeurologyDCTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 22043)

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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: 2567352412View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationVA
Clinical PsychologistMI
N E U R O L O G YWV
N E U R O L O G YVA
N E U R O L O G YVA
P S Y C H I A T R YKS

Reviews

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Frequently asked questions

What is the registry number for EVAN LAURENCE GRAY (DO)?
The registry entry for EVAN LAURENCE GRAY (DO) shows NPI 1134625593.
Should I treat EVAN LAURENCE GRAY (DO) as an active provider?
Patients and plans typically see EVAN LAURENCE GRAY (DO) as active in the national extract.
What services align with EVAN LAURENCE GRAY (DO)'s listing?
EVAN LAURENCE GRAY (DO)'s public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to EVAN LAURENCE GRAY (DO)?
The directory associates EVAN LAURENCE GRAY (DO) with Falls Church, Virginia. Check all listed addresses for suites or satellite offices.
Can I export EVAN LAURENCE GRAY (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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