Individual provider Active NPI

Chancellor Folsom Gray, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Gainesville, FL
National Provider Identifier
1013179548
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
ME124154 Issued in FL
Practice address
7540 W University Ave
Gainesville, FL 32607-7609
Phone
(352) 647-9700
Fax
(352) 525-4902
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MT192846 PA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X ME124154 FL Primary

Addresses

Primary practice location

7540 W University Ave
Gainesville, FL 32607-7609

Mailing address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915
Phone (813) 978-9700

Other practice location 1

3450 Hull Rd
Gainesville, FL 32607-4144
Phone (352) 773-7001

Other practice location 2

2118 SW 20th Pl Ste 102
Ocala, FL 34471-0869
Phone (352) 647-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916002212 FL Practitioner - Orthopedic Surgery 1254653447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Tallahassee Orthopedic Clinic III PLGroup PAC ID 4284532755, 538 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

2118 SW 20TH PL
Suite 101
Ocala, FL 34471-0869
Phone (813) 978-9700

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

5036 SE 110TH St
Belleview, FL 34420-3759
Phone (352) 693-3378

8449 SW Hwy 200
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

  • Brooks Rehabilitation Home Health Home health agency, Palatka, FL, CCN 109754
  • Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702
  • Concierge Home Care Home health agency, Ocala, FL, CCN 687152
  • Uf Health Shands Homecare Home health agency, Gainesville, FL, CCN 107142
  • Concierge Home Care Home health agency, The Villages, FL, CCN 108320
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as individual
Quality
76.07
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement63
Knee replacement110
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT192846PAMDOrthopaedic Surgery Physician
ME124154FLMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III PL Orthopaedic Surgery CurrentSince Sep 1, 2023 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Sep 1, 2023 Accepting new patients

Locations

7540 W University Ave
Gainesville, FL 32607
Phone (352) 265-0335

2118 SW 20th Pl
Ste 101
Ocala, FL 34471

2118 SW 20th Pl
Ste 102
Ocala, FL 34471
Phone (352) 291-1022

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

13020 N Telecom Pkwy
Temple Terrace, FL 33637

Networks

  • Freedom Health HMO Network
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO D-SNP
  • FL HMO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • Optimum HealthCare HMO Network
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO
  • FL HMO
  • FL PPO

Interoperability endpoints

  • Direct secure messaging: chancellor.gray.1@18802.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1013179548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370915",
            "telephone_number": "813-978-9700",
            "fax_number": "813-558-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 W UNIVERSITY AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326077609",
            "telephone_number": "352-647-9700",
            "fax_number": "352-525-4902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 Hull Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326074144",
            "country_code": "US",
            "telephone_number": "352-773-7001",
            "fax_number": "352-773-7388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2118 SW 20th Pl Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710869",
            "country_code": "US",
            "telephone_number": "352-647-9700",
            "fax_number": "352-525-4994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CHANCELLOR",
        "middle_name": "FOLSOM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT192846",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME124154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.