LARISSA FAITH GRAY (PA-C) – Physician Assistant, NPI 1083344758
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
323 PHYSICIAN ASSISTANT in WY
Provider Addresses for LARISSA FAITH GRAY (PA-C)
4227 MINK
CASPER, WY 826044509
Phone: (307) 315-3236
Type: Location
1522 E A ST
CASPER, WY 826012254
Phone: (307) 234-6161
Type: Location
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: 2023-07-20
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 |
|---|---|---|---|---|
| I20230720001704 | I | Physician Assistant | WY | 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 |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 31 | 30 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 20 | 15 | $0 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 18 | 18 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 15 | 14 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 13 | 13 | $0 |
Insurance plans in this area (ZIP 82604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WY | |
| - | WY | |
| Qualified Speech Language Pathologist | WY | |
| Qualified Speech Language Pathologist | WY | |
| Psychiatry, Addiction Medicine | WY | |
| - | WA | |
| Nurse Practitioner | WY | |
| Qualified Audiologist | WY | |
| Family Practice | WY | |
| Family Practice | WY |
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