MRS. LISA-MARIE A. GRAY (PA-C) – Physician Assistant, NPI 1376502435
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. LISA-MARIE A. GRAY (PA-C)
1 WESTBROOK CORP CTR
SUITE # 240
WESTCHESTER, IL 601545701
Phone:
Type: Mailing
25 North Winfield Rd.
Suite 505
Winfield, IL 60190
Phone: (630) 682-5653
Fax: (630) 682-8946
Type: Location
PO BOX 417438
BOSTON, MA 022417438
Phone: (610) 644-8900
Fax: (484) 924-0053
Type: Mailing
700 PASQUINELLI DR
WESTMONT, IL 605591382
Phone: (630) 323-8690
Type: Location
Northwestern Medicine Central DuPage Hospital, 25, North Winfield Road, Geneva Road, Winfield, DuPage County, Illinois, 60190, United States
SUITE 505
WINFIELD, IL 60190
Phone: (630) 682-5653
Fax: (630) 682-8946
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $292.
Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.
Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Medtronic, Inc. ($206).
Total Amount
$292
General + Research + Ownership
Payments
11
Total payment records
General Amount
$292
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-01-16
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 |
|---|---|---|---|---|
| I20100116000322 | I | Physician Assistant | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60154)
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Reviews
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