Grayson Jeffrey Koval

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

T5364 Issued in TX

Practice address

3300 N a St Ste 110
Midland, TX 79705-5421

Phone

(432) 400-3401

Fax

(432) 400-3402

NPI assigned

Apr 24, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pain Management

Education

University of Texas Southwestern Medical School at Dallas, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians

Neurosurgical Associates, PLLCGroup PAC ID 5890693402, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midland Memorial Hospital Hospital, Midland, TX, CCN 450133
• Medical Center Hospital Hospital, Odessa, TX, CCN 450132
• Permian Regional Medical Center Andrews County Ho Hospital, Andrews, TX, CCN 450144
• Big Bend Regional Medical Center Hospital, Alpine, TX, CCN 451378

Merit-based Incentive Payment System (MIPS)

Final score

78.51 of 100Reported as individual

Quality

49

Promoting interoperability

100

Improvement activities

40

Cost

79.37

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: graysonkoval@nhs.allscriptsdirect.net
• Direct secure messaging: gkoval42475@direct.phhs.org

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.

• Neurosurgical Associates, PLLC

  • Neurological Surgery Physician
  • Lubbock, TX
  • NPI 1467491837
  Medicare reassignment Care Compare group NPD
• Dora Roberts Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Big Spring, TX
  • NPI 1760486708
  Care Compare group

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

• Andrews County Hospital District

  • Rural Acute Care Hospital
  • Andrews, TX
  • NPI 1174563779
  Care Compare affiliation
• Big Bend Hospital Corporation

  • Critical Access Hospital
  • Alpine, TX
  • NPI 1356312243
  Care Compare affiliation
• Ector County Hospital District

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation
• Midland County Hospital District

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  Care Compare affiliation

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1073048492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101334",
            "telephone_number": "806-796-3000",
            "fax_number": "806-796-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N A ST STE 110",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055421",
            "telephone_number": "432-400-3401",
            "fax_number": "432-400-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "GRAYSON",
        "middle_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "T5364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G Konchar, D.P.M.
• Hannah Koo, RN
• Vamsi Kiran Korrapati
• Suresh K Kota, MD
• Jeri Jo Kounce, L.P.C.
• Sarah Kreisner
• Elena Krendelshchikova, AGNP-C
• Taylor Madison Krings, PA-C
• Kristen J Kozma DO PA
• Kartikeya Kumar

• Interventional Pain Medicine Physician in Midland, TX
• Providers in Midland, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.