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Active NPI 1255963252 Individual Practitioner Female Practitioner

Mallory Jo Gray , APRN

Nurse Practitioner - Family • Moore, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mallory Gray, APRN is a certified Nurse Practitioner - Family practicing in Moore, OK. With approximately 7 years of clinical experience since completing medical education in 2019, Mallory Gray delivers high-quality medical care to the local community at 400 N EASTERN AVE.

Mallory Gray is affiliated with Your Health Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 N Eastern Ave

Moore, OK 731605833

Telephone 4057306990
Fax 4057306992
Associated Practice Facility / Clinic
🏢 Aky Md, Llc Facility NPI 1063846699

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Moore, OK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -1.0 yrs vs City Avg
City Avg: 8.0 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
43 Specialists

Practicing in Moore, OK (2739 Statewide)

Telehealth Adoption Rate
18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gray (7 Years) 7 Yrs
Moore Specialty Average (8.0 Years) 8.0 Yrs

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
45 26 $312.00 $100.43
99213 Established patient office or other outpatient visit, typically 15 minutes
22 13 $213.00 $68.03
36415 Insertion of needle into vein for collection of blood sample
14 13 $9.00 $8.65

Medical Specialties & State Licenses

CMS Verified: 2023-09-07
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License OK 87735

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200905610A (OK)
Commercial Insurance / Payer ID Medicare Ptan
1B6545 (OK)

Hospital & Practice Group Affiliations

Your Health Llc

400 N Eastern Ave, Moore, OK 731605833

Phone: 4057306990

Secondary Practice Locations

400 N Eastern Ave

Moore, OK 731605833

Phone: 4057577818

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1225614795

Doctor of Osteopathic Medicine (D.O.)

Dr. Isaac Ilaoa , DO

Internal Medicine

NPI 1336415280

Doctor of Osteopathic Medicine (D.O.)

Dr. John Beavers , MD

Family Medicine

NPI 1386615839

Doctor of Medicine (M.D.)

Mary Grace Difuntorum , APRN, FNP

Nurse Practitioner - Family

NPI 1659078129

Advanced Practice Registered Nurse, Family Nurse Practitioner

Esperanza Duncan , APRN

Nurse Practitioner - Family

NPI 1689493348

Advanced Practice Registered Nurse

Elizabeth Sill , FNP-C

Nurse Practitioner - Family

NPI 1790166486

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 07, 2023

Registered at 400 N EASTERN AVE, MOORE, OK 731605833 (Tel: 4057306990)

📍
Updated Business Mailing Address September 07, 2023

Registered at PO BOX 891625, OKLAHOMA CITY, OK 731891625 (Tel: 4057577818)

📍
Updated Business Mailing Address October 15, 2020

Registered at 7800 NW 85TH TER, OKLAHOMA CITY, OK 731323385 (Tel: 4059727239)

NPI Profile Active February 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2020

Registered at 5200 E I 240 SERVICE RD STE 201, OKLAHOMA CITY, OK 731352610 (Tel: 4056286496)

📍
Updated Business Mailing Address February 07, 2020

Registered at 5200 E I 240 SERVICE RD STE 201, OKLAHOMA CITY, OK 731352610 (Tel: 4056286496)

👤
Provider Name / Credentials Updated February 07, 2020

Recorded as MALLORY GRAY, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2020

Nurse Practitioner (License #87735 in OK)

🟢
Initial NPI Registration & Enumeration February 07, 2020

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: 1255963252
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2020
Last Update: September 07, 2023
Sole Proprietor: No

Mailing Address

Po Box 891625

Oklahoma City, OK 731891625

Phone: 4057577818

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.