DR. SAMUEL GRAY (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1184088486
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
433 PODIATRY in VA
Provider Addresses for DR. SAMUEL GRAY (D.P.M.)
3300 Gallows Rd
Falls Church, VA 220423307
Phone: (703) 776-4001
Type: Location
7850, Newport Glen Pass, Accotink Heights, Annandale, Fairfax County, Virginia, 22003, United States
ANNANDALE, VA 220031561
Phone: (917) 238-0909
Type: Mailing
46090 LAKE CENTER PLZ STE 204
STERLING, VA 201655878
Phone: (703) 539-2036
Fax: (703) 563-2716
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $445.
Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Nevro Corp. ($81).
Total Amount
$445
General + Research + Ownership
Payments
18
Total payment records
General Amount
$445
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $81 |
| Hydrofera LLC | $80 |
| Kerecis Limited | $56 |
| Organogenesis Inc. | $46 |
| Smith+Nephew, Inc. | $42 |
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: 2021-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190807003264 | I | Podiatry | VA | TBD |
| I20210203002149 | I | Podiatry | DC | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 378 | 84 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 160 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 159 | 81 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 100 | 54 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 84 | 84 | $0 |
Insurance plans in this area (ZIP 22042)
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