Individual provider Active NPI

Scott Gray, M.D.

  • Orthopaedic Surgery Physician
  • Danbury, CT
National Provider Identifier
1275635682
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
027630 Issued in CT
Practice address
33 Hospital Ave
Danbury, CT 06810
Phone
(203) 792-5558
Fax
(203) 731-3213
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 027630 CT Primary

Addresses

Primary practice location

33 Hospital Ave
Danbury, CT 06810

Mailing address

33 Hospital Ave
Danbury, CT 06810
Phone (203) 792-5558

Other identifiers 8

IdentifierTypeStateIssuer
C00267OtherMEDICARE GROUP
Z5264OtherOXFORD
1058788OtherUNITED HEALTHCARE
001276302MedicaidCT
010027630CT01OtherANTHEM BCBS
2V2656OtherHLTHNET OF THE NORTHEAST
0062482003OtherCIGNA
027630OtherCONNECTICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080429000463 CT Practitioner - Orthopedic Surgery 8527146794 Reassigns benefits to 1 organization
I20210422000130 NY Practitioner - Orthopedic Surgery 8527146794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
48.77 of 100Reported as group
Quality
35.11
Improvement activities
30
Cost
60.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027630CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Jan 20, 2021 Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC Orthopaedic Surgery CurrentSince Apr 1, 2020 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

40 Old Ridgebury Rd
Ste 101
Danbury, CT 06810
Phone (203) 397-6872

664 Stoneleigh Ave
Ste 103
Carmel, NY 10512

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114

400 Westage Business Ctr Dr
Ste 106
Fishkill, NY 12524
Phone (845) 227-2228

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1275635682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-792-5558",
            "fax_number": "203-731-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-792-5558",
            "fax_number": "203-731-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "027630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C00267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "Z5264",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1058788",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001276302",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010027630CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HLTHNET OF THE NORTHEAST",
            "identifier": "2V2656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0062482003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "027630",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.