Deactivated NPI 1659379535 Deactivated / Inactive NPI Male Practitioner

Dr. Warren L Gray , MD

Urology • Bloomington, IN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Warren Gray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2005

NPI Deactivation Date December 06, 2021

Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Warren Gray, MD was a registered Urology practicing in Bloomington, IN. Throughout an active medical career spanning 16 years, Dr. Gray provided care at the practice location at 2907 MCINTYRE DR until profile deactivation on 2021-12-06.

Historical Medicare Part B clinical services included established patient outpatient office visit, automated urinalysis test, insertion of needle into vein for collection of blood sample. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2907 Mcintyre Dr

Bloomington, IN 474034209

Telephone 8123328765

Fax 8123363425

Associated Practice Facility / Clinic

🏢 Surgicare Llc Facility NPI 1346210259

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Bloomington, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.0 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Bloomington, IN (320 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	143	53	$80.00	$53.01
81003 Automated urinalysis test	140	54	$13.00	$2.23
36415 Insertion of needle into vein for collection of blood sample	47	34	$13.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	32,900	14	$0.10	$0.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	220	83	$80.00	$42.86
81003 Automated urinalysis test	216	71	$13.00	$2.19
36415 Insertion of needle into vein for collection of blood sample	85	57	$13.00	$2.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	84	15	$45.00	$13.56
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	23	$40.00	$21.85
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$43.00	$15.99
74176 Ct scan of abdomen and pelvis without contrast	12	11	$500.00	$101.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	26,900	16	$0.10	$0.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	161	74	$79.75	$42.54
81003 Automated urinalysis test	142	77	$13.00	$2.44
99213 Established patient office or other outpatient visit, typically 15 minutes	121	73	$132.00	$70.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	16	$45.00	$15.81
36415 Insertion of needle into vein for collection of blood sample	54	45	$13.00	$2.94
76705 Limited ultrasound scan of abdomen	27	15	$206.00	$85.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	17	$40.00	$21.46
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$43.00	$15.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	99,700	28	$0.10	$0.02
81003 Automated urinalysis test	354	150	$13.00	$2.70
99213 Established patient office or other outpatient visit, typically 15 minutes	259	137	$132.25	$64.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	246	28	$45.00	$17.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	94	$80.68	$38.67
81002 Urinalysis, manual test	75	38	$10.04	$3.36
52000 Diagnostic exam of bladder and urethra using an endoscope	16	14	$410.00	$74.14
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$140.00	$66.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	99,000	22	$0.10	$0.02
99213 Established patient office or other outpatient visit, typically 15 minutes	471	195	$132.00	$63.63
81003 Automated urinalysis test	413	164	$13.00	$2.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	249	22	$45.00	$21.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	30	$80.00	$37.84
81002 Urinalysis, manual test	117	62	$10.00	$3.32
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$140.00	$65.89
52281 Dilation of bladder canal (urethra) using an endoscope	20	20	$634.00	$126.75
52000 Diagnostic exam of bladder and urethra using an endoscope	16	14	$410.00	$91.03
51798 Ultrasound measurement of bladder capacity after voiding	16	15	$156.25	$16.46
50590 Shock wave crushing of kidney stones	13	11	$2059.08	$528.45

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 01024078A

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Timothy Habbe , MD

Urology

NPI 1083608335

Doctor of Medicine (M.D.)

Kimberly Powers

Nurse Practitioner - Family

NPI 1447913736

Dr. Brian Logue , MD

Urology

NPI 1467450767

Doctor of Medicine (M.D.)

Dr. Eric Smith , MD

Urology

NPI 1578561700

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

⚠️

NPI Profile Deactivated December 06, 2021

Record deactivated on December 06, 2021

✅

NPI Profile Active January 10, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 10, 2018

Registered at 2907 MCINTYRE DR., BLOOMINGTON, IN 474034224 (Tel: 8123328765)

📍

Updated Business Mailing Address January 10, 2018

Registered at 2907 MCINTYRE DR, BLOOMINGTON, IN 474034209 (Tel: 8123328765)

👤

Provider Name / Credentials Updated January 10, 2018

Recorded as WARREN GRAY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Urology (License #01024078A in IN)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2907 MCINTYRE DR, BLOOMINGTON, IN 474034209 (Tel: 8123328765)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2907 MCINTYRE DR, BLOOMINGTON, IN 474034209 (Tel: 8123328765)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as WARREN GRAY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #01024078A in IN)

🟢

Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659379535

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 13, 2005

Last Update: July 08, 2007

Deactivation Date: December 06, 2021

Update or Correct Profile

Mailing Address

2907 Mcintyre Dr

Bloomington, IN 474034209

Phone: 8123328765

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.