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Active NPI 1356322077 Individual Practitioner Male Practitioner

Dr. Jon Harvey Gray , MD

General Practice • Lake Charles, LA

Professional Overview & Biography Verified Profile Summary

Dr. Jon Gray, MD is a registered healthcare professional specializing in General Practice in Lake Charles, LA. Practice services are available at 1701 OAK PARK BLVD. under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, critical care, first, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 Oak Park Blvd.

Lake Charles, LA 70601

Telephone 3374943036
Fax 3374942181
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lake Charles, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Lake Charles, LA (173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.7% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
426 378 $2235.00 $166.65
99291 Critical care, first 30-74 minutes
78 77 $2849.00 $200.36
99284 Emergency department visit with moderate level of medical decision making
37 34 $1513.00 $115.36

Medical Specialties & State Licenses

CMS Verified: 2020-04-21
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License LA 022139

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License LA 022139

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1668974 (LA)
Medicaid State Provider ID
66897 (LA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Thad Leboeuf , APRN, FNP-C

Nurse Practitioner - Family

NPI 1225559586

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Aaron Dupree , MD

Emergency Medicine

NPI 1497938518

Doctor of Medicine (M.D.)

Brandon Blanchard , FNP

Nurse Practitioner - Family

NPI 1518461706

Family Nurse Practitioner

Dr. Juan Ramirez Ocampo , MD

Personal Emergency Response Attendant

NPI 1659562916

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated April 21, 2020

Recorded as JON GRAY, M.D.

NPI Profile Active March 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2015

Registered at 1701 OAK PARK BLVD., LAKE CHARLES, LA 70601 (Tel: 3374943036)

📍
Updated Business Mailing Address March 23, 2015

Registered at 6034 ST. CHARLES AVE, NEW ORLEANS, LA 70118 (Tel: 5042967959)

👤
Provider Name / Credentials Updated March 23, 2015

Recorded as JON GRAY, III, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2015

Emergency Medicine (License #022139 in LA)

🟢
Initial NPI Registration & Enumeration November 09, 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: 1356322077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2005
Last Update: April 21, 2020
Sole Proprietor: Yes

Mailing Address

6034 St. Charles Ave

New Orleans, LA 70118

Phone: 5042967959

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.