Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1962583120 Deactivated / Inactive NPI Male Practitioner

Dr. Jerrold Gray , MD

Specialist • Defiance, OH

⚠️

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. Jerrold Gray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2006
NPI Deactivation Date January 06, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jerrold Gray, MD was a registered Specialist practicing in Defiance, OH. Throughout an active medical career spanning 14 years, Dr. Gray provided care at the practice location at 211 BIEDE AVE until profile deactivation on 2020-01-06.

Historical Medicare Part B clinical services included established patient outpatient office visit, outpatient office visit, telehealth originating site facility fee. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

211 Biede Ave

Defiance, OH 435122408

Telephone 4197828856
Fax 4197844506
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Defiance, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
14 Specialists

Practicing in Defiance, OH (1444 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.4% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
302 127 $165.00 $104.48
99213 Established patient office or other outpatient visit, typically 15 minutes
132 106 $125.00 $71.28

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 35077378

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Chelsea Moreno

Case Manager/Care Coordinator

NPI 1003468471
Cheryl Wolff

Case Manager/Care Coordinator

NPI 1013565480
NPI 1033690847
Alysha Valdez

Case Manager/Care Coordinator

NPI 1033740816
Jaimee Schreiber

Case Manager/Care Coordinator

NPI 1033822028
Danielle Vance

Case Manager/Care Coordinator

NPI 1043846975

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 211 BIEDE AVE, DEFIANCE, OH 435122408 (Tel: 4197828856)

📍
Updated Business Mailing Address July 09, 2007

Registered at 211 BIEDE AVE, DEFIANCE, OH 435122408 (Tel: 4197828856)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JERROLD GRAY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #35077378 in OH)

🟢
Initial NPI Registration & Enumeration October 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jerrold Gray. Be the first to share your experience!

Sign in to leave a review for Dr. Jerrold Gray

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1962583120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 09, 2007
Deactivation Date: January 06, 2020

Mailing Address

211 Biede Ave

Defiance, OH 435122408

Phone: 4197828856

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.