Individual provider Active NPI

Jon B Obray, M.D.

  • Interventional Pain Medicine Physician
  • St George, UT
National Provider Identifier
1205814803
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
7364782-1205 Issued in UT
Practice address
2891 E Mall Drive, Ste 101
St George, UT 84790
Phone
(435) 656-2424
Fax
(435) 656-2828
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 7364782-1205 UT
Interventional Pain Medicine Physician 208VP0014X 7364782-1205 UT Primary

Addresses

Primary practice location

2891 E Mall Drive, Ste 101
St George, UT 84790

Mailing address

PO Box 912042
St George, UT 84791-2042
Phone (435) 215-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20091001000368 UT Practitioner - Pain ManagementPractitioner - Interventional Pain Management 6709958952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional Pain Management
Education
Johns Hopkins University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Spine and Pain Care Specialists LLCGroup PAC ID 6406020049, 42 clinicians

Practice addresses (Care Compare)

25 N 2000
Suite 8
Hurricane, UT 84737-4115
Phone (435) 635-0174

2891 E Mall Dr
Suite 102
St George, UT 84790-2399
Phone (435) 703-2930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.97 of 100Reported as group
Quality
68.31
Promoting interoperability
86
Improvement activities
40
Cost
73.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7364782-1205UTMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richfield Surgery Center, LLC Current Accepting new patients
Southwest Spine and Pain Care Specialists, LLC Pain Medicine CurrentSince Sep 12, 2011 Accepting new patients
Cache Valley Surgery Center, LLC Current Accepting new patients
Southwest Spine and Pain Care Specialists, LLC CurrentSince Sep 11, 2011 Accepting new patients

Locations

2311 N Main St
Ste 101
Cedar City, UT 84721
Phone (435) 586-2229

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1716 N Highway 40
Ste 201
Heber City, UT 84032
Phone (435) 615-8822

25 N 2000 W
Ste 8
Hurricane, UT 84737
Phone (435) 635-0174

630 E 1400 N
Ste 135
Logan, UT 84341
Phone (435) 787-8146

630 E 1400 N
Ste 120
Logan, UT 84341
Phone (435) 787-7246

1122 Center Dr
Ste D350
Park City, UT 84098
Phone (435) 383-2026

860 N Main St
Ste B
Richfield, UT 84701
Phone (435) 215-0646

860 N Main St
Ste A
Richfield, UT 84701
Phone (435) 879-7612

301 N 200 E
Ste 2A
St George, UT 84770
Phone (435) 628-3651

652 S Medical Center Dr
Ste 400
St George, UT 84790
Phone (435) 251-2650

2051 E Red Hills Pkwy
Ste 7
St George, UT 84770
Phone (435) 703-2930

2891 E Mall Dr
Ste 102
St George, UT 84790

652 S Medical Center Dr
Ste 110
St George, UT 84790
Phone (435) 215-0230

2891 E Mall Dr
Ste 101
St George, UT 84790
Phone (435) 879-7610

935 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4800

691 E 400 N
Ste 100
Vineyard, UT 84059
Phone (385) 203-0246

691 E 400 N
Ste 110
Vineyard, UT 84059
Phone (385) 203-0246

Networks

  • UT PPO
  • UT PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: jon.obray@ssapcsl-ut.direct.office.nextgen.com

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1205814803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-215-0230",
            "fax_number": "435-986-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 E MALL DRIVE, STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-656-2424",
            "fax_number": "435-656-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRAY",
        "first_name": "JON",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "7364782-1205",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "7364782-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.