DR. ALICIA M GRAY (MD) – Internal Medicine Physician, NPI 1063866085

DR. ALICIA M GRAY (MD) is a healthcare provider. based in Rock springs, Wyoming. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 12107A (WY). The NPI Number for DR. ALICIA M GRAY (MD) is 1063866085

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALICIA M GRAY (MD)
NPI
1063866085
Phone
(307) 362-3711
Address
1200 COLLEGE DR
Enumeration Date
15 April 2016
Last Update Date
21 January 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3073623711
Graduation Year
2016 (10 years ago)
PAC ID
3870842867
Group Practice PAC ID
0244124550
Professional Enrollment ID
I20190904003117
Address ID
WY829015868RO1200XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

169 INTERNAL MEDICINE in WY

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Provider Addresses for DR. ALICIA M GRAY (MD)

  • Memorial Hospital of Sweetwater County, 1200, College Drive, Blairtown, Rock Springs, Sweetwater County, Wyoming, 82901, United States

    ROCK SPRINGS, WY 829015868

    Phone: (307) 362-3711

    Fax: (307) 352-8530

    Type: Location

  • PO BOX 1359

    ROCK SPRINGS, WY 829021359

    Phone: (307) 362-3711

    Fax: (307) 352-8502

    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: 2019-09-04

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
I20190904003117IInternal MedicineWYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes338163$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes138129$0
99238Hospital discharge day management, 30 minutes or less109100$0
99239Hospital discharge day management, more than 30 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 82901)

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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: 0244124550View full group profile
NameSpecialtyState
Orthopedic SurgeryWY
General SurgeryWY
O B S T E T R I C S/ G Y N E C O L O G YWY
Family PracticeWY
Internal Medicine, HospitalistNY
O T O L A R Y N G O L O G YWY
Family PracticeWY
Obstetrics/Gynecology, Family PracticeMO
Family PracticeWY
Nurse PractitionerWY

Reviews

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Frequently asked questions

Can I verify DR. ALICIA M GRAY (MD) with an NPI only?
You can start verification with NPI 1063866085 for DR. ALICIA M GRAY (MD), then check state licensing separately.
Does the file indicate DR. ALICIA M GRAY (MD) is practicing under active NPI?
Directory data currently reports DR. ALICIA M GRAY (MD) as active.
What healthcare role does DR. ALICIA M GRAY (MD) hold?
Scheduling teams often label DR. ALICIA M GRAY (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ALICIA M GRAY (MD) based?
DR. ALICIA M GRAY (MD) is tied to Rock Springs, Wyoming in the data we show; additional addresses may exist on the full record.
Is the information about DR. ALICIA M GRAY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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